Senior Recovery Resolutions Representative - Raleigh, NC

Position Description:

Energize your career with one of Healthcare's fastest growing companies.  

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Are you looking to be on the forefront of reducing the cost of healthcare through cost containment and compliance? Do you consider yourself a critical thinker, problem solver, and process improver? Do you have the ability to analyze numbers and identify trends while being able to build lasting relationships? Do you want to work for one of the leading revolutionary healthcare companies that affect every aspect of the healthcare system?

Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's also fast paced and challenging. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment.

The Senior Recovery Resolution Representative (Regional Account Manager) role handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. This role has 2 primary functions. First, you will be reviewing and analyzing contract rates on accounts at the hospital business office.  You will be required to use basic math in all of your daily activities. As field-based employees who work onsite at our client's offices; relationship building is another crucial function of the position. Acclimating to our client's environment and learning about their primary goals and objectives is essential, and ensures a successful partnership. Regional Account Managers are responsible for regular communication with client contacts at all levels to follow-up on open AR, discuss reporting and any assigned projects etc.  We offer the latest tools along with the most intensive training program in the industry and nearly limitless opportunities for advancement. This position also offers quarterly incentives based on performance.

Primary Responsibilities:

• Plan, prioritize, organize and complete work to meet established production goals or quotas in a fast pace and ever changing environment


• Provide expertise in credit balance adjudication by reviewing, researching, and resolving all types of accounts as well as providing resolution outcomes for health plans, commercial customers and government entities


• Establish professional working relationships to ensure operational efficiency


• Anticipates customer needs and proactively identifies solutions


• Accounts receivable follow up and resolution


• Analyze and identify trends and provide reporting as necessary


• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

Required Qualifications:

• Undergraduate degree or High School Diploma/ GED with 3+ years of equivalent work experience



• Intermediate proficiency with PC, Windows and Data Entry 


• Intermediate level of proficiency with Excel required (i.e. sorting, summing, creating bar graphs, formulas)        


• Ability to travel, 3 week training program held in Tennessee and then up to 75% of the time (generally local, but some overnight) required

Preferred Qualifications:

• Previous experience working in a client facing role and/or working onsite at a client site


• 3+ years of experience in claims recovery and resolution or an operations based environment


• Healthcare finance experience with a focus in auditing and/or analysis


• 2+ years of Account Management experience


• Previous leadership experience


• Previous work within the community giving back or volunteering time and resources


• Ability to work in a dynamic environment both independently and in a group setting
• 1+ year of accounting and finance experience with the ability to think analytically and strategically

Soft Skills:

• Strong Communication and Customer Service skills

Physical Requirements and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer


• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

At Optum, you will perform within an innovative culture that's focused on transformational change in the Healthcare system. You will leverage your skills across a diverse and multifaceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.