Recovery Resolution Account Analyst – Emeryville (East Bay), CA. - Full-time / Part-time

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.

Flexible,
Friendly, Fast on your feet?  That's a great start. Accurate, Accountable,
Self Directed. These traits can take you places. 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 fast paced
challenge. 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.

 

As a Recovery Resolution Account Analyst you will be responsible for investigating,
recovering and resolving all types of claims as well as recovery and resolution
for health plans, commercial customers and government entities. Duties 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.

Primary
Responsibilities:

• Provide expertise claims support by
  reviewing, researching, investigating, negotiating and resolving all types
  of claims as well as recovery and resolution for health plans, commercial
  customers and government entities

• Analyze and identify trends and provides
  reports as necessary

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

• Extensive work experience, possibly in
  multiple functions

• Work does not usually require
  established procedures

• Works independently

• Mentors others

• Acts as a resource for others

• Coordinates others activities

Requirements:

• Bachelor's Degree OR 5+ years of
  experience in claims recovery and resolution and a high school diploma/ GED

• 25% regional travel within the San
  Francisco area

• Commutable distance to San Francisco
  site

• Intermediate MS Office
  experience (Word and Excel)

• Working Hours 6:00am - 6:00pm Monday -
  Friday

Assets:

• 2+ years of Customer Service experience
  (ability to build and maintain rapport)

• Accounting experience

• Previous experience in an auditing and/
  or analytical role

• Health insurance experience

Physical
Requirements and Work Environment:

• Extended periods of sitting at a
  computer and use of hands/ fingers across keyboard or mouse

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.