Regional Account Manager - Fresno, 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.

 

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
environmentProvide 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 entitiesEstablish professional working relationships to ensure
operational efficiencyAnticipates customer needs and proactively identifies
solutionsAccounts receivable follow up and resolutionAnalyze and identify trends and provide reporting as
necessaryEnsure adherence to state and federal compliance
policies, reimbursement policies and contract compliance

Requirements:

High School diploma/GED with 1+ years of experience in claims processing or medical
billingWork 40hr work week within the operating hours (Monday
thru Friday 6am - 6pm)50% regional travel within the Central CA area,
training in Nashville, TN first 3 weeks straightIntermediate computer and Windows PC applications;
Word, Excel, OutlookAbility to solve math word equations

Assets:

Customer Service experience, prefer in a face to face
setting in healthcare industry (ability to build and maintain rapport)Experience working in the healthcare billing industry Experience working in a metric based production
environmentExperience in accountingBachelor's DegreeHealthcare finance experience with a focus in auditing
and/or analysis

Soft Skills:

Experience working high stress goals within timelinesExperience in analyzing data and creating action plans
based on that data, utilizing strong problem solving skillsCommunication both written and verbal, presentation
skillsCritical thinking and workflow management skillsSelf Motivated

Physical Requirements and Work
Environment:

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

Careers with Optum. Here's the idea. We built an entire organization around
one giant objective; make the health system work better for everyone. So when
it comes to how we use the world's large accumulation of health-related
information, or guide health and lifestyle choices or manage pharmacy benefits
for millions, our first goal is to leap beyond the status quo and uncover new
ways to serve. Optum, part of the UnitedHealth Group family of businesses,
brings together some of the greatest minds and most advanced ideas on where
health care has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated challenges that
matter. Optum, incredible ideas in one incredible company and a singular
opportunity to do 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.