Senior Recovery/Resolutions Representative - Fort Wayne, IN - Full-time / Part-time

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.

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
Credit Balance 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.
 
This role
handles information about patient services and how those services are
paid by investigating and pursuing recoveries through contact with
various parties. There are 2 primary functions. First, reviewing and
analyzing contract rates on credit balance 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 and growth 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. Responsibilities include regular
communication with client contacts at all levels to follow-up on open
AR, discuss reporting, projects and identifying opportunities for growth
of the business partnership.  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:

Provide
expertise by reviewing, researching, and resolving all types of
accounts in a credit balance to bring final resolution and root cause
analysis for health plans, commercial customers and government entitiesFundamental
Execution: Plan, prioritize, organize and complete work to meet
established production goals, quotas and deadlines in a fast pace and
ever changing environmentCommunicate and/or meet with the provider
appropriately to ensure Optum is meeting the needs and expectations of
the provider and build a good rapport with the provider contacts by
establishing professional working relationships to ensure operational
efficiencyAnticipates customer needs and proactively identifies solutions, be accountable for improving business operationsAccounts receivable follow up and resolutionAnalyze and identify trends and provide reporting as necessaryWork independently with little direct onsite supervisionEnsure adherence to state and federal compliance policies, reimbursement policies and contract compliance

Required Qualifications:


High School Diploma/GED1+ year of experience in a role using basic math and thinking analytically and strategically2+ years of experience with PCs and Windows Applications with the ability to learn new and complex systems2+ years of experience with intermediate level of
proficiency with Excel (i.e. sorting, summing, creating bar graphs, and
formulas) Working Hours - 40- hours standard, OT if business needs dictate but not regular  Ability to travel, 2-week training program held in
Tennessee and then up to 25% of the time (generally local, but some
overnight) required
Preferred Qualifications:

Bachelor’s Degree or HigherPrevious experience working in a client facing role and/or working onsite at a client site3+ years of experience in Claims Recovery and Resolution or an Operations Based environmentHealthcare Finance experience with a focus in Auditing and/or Analysis2+ years of Account Management or Customer Service experiencePrevious leadership experiencePrevious work within the community giving back or volunteering time and resources
Soft Skills: Ability to work in a dynamic environment both independently and in a group settingStrong Communication and Customer Service skills
Physical Requirements and Work Environment: 
Extended periods of sitting at a computer and use of
hands/fingers across keyboard or mouse, speaking, listening using a
headset.Business office environment with moderate noise level due to Representatives talking on computers, printers, and floor activity
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.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and
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.Keywords: claims,
medical claims, healthcare claims, claims processing, claims processor;
office, UnitedHealth Group, Optum,  training class, customer service
representative, customer service, CSR, Data Entry, adjustments, phone
support