Recovery - Resolutions Representative Associate - Lawrenceville, IL

Position Description:

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.(sm)

Primary Responsibilities:

• Open, sort, date stamp, count, scan and document in case management system the receipt of file correspondence, including revenue checks. Distribute correspondence to staff accordingly 
• Answer incoming phone calls in a polite and professional manner. Facilitate the handling of callers' request for information. Route calls to other staff members; take and deliver accurate and complete messages as appropriate. Screen calls and initiate resolution of questions/issues without consultation with others 
• Assist staff and/or the management team with case investigation, research or development as needed 
• File Maintenance/Archiving 
• Other Administrative duties as assigned by manager 
• Moderate work experience within own function. 
• Some work is completed without established procedures. 
• Basic tasks are completed without review by others. 
• Supervision/guidance is required for higher level tasks.
• Requires knowledge of support functions for UnitedHealthOne Medical History Review procedures, as well as Mainframe/CPS knowledge.
• We would like to re-hire a specific former employee who was downsized earlier in 2014.
• Responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities.
• May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. 
• Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims.
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history.
• May monitor large claims including transplant cases.
• Moderate work experience within own function.
• Some work is completed without established procedures.
• Basic tasks are completed without review by others.
• Supervision/guidance is required for higher level tasks.

Requirements:

• High School Diploma/GED required 
• 1+ year of experience within an operations support role (i.e. previous administrative background involved with performing administrative duties on a day-to-day basis) 
• Proficiency with MS Word and Excel 

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.

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.