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in South Bend, IN
Senior Recovery Resolutions Representative - South Bend, IN
Hours | Full-time, Part-time |
---|---|
Location | South Bend, IN South Bend, Indiana |
About this job
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.
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
Requirements
Requirements:
- High school diploma or GED
- Ability to do basic math and think analytically and
strategically - Intermediate proficiency with PC and Windows
- Intermediate level of proficiency with Excel required (i.e.
sorting, summing, creating bar graphs, formulas) - Up to 25% travel
Assets:
- Bachelor's Degree
- 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
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.