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Recovery Resolutions Associate - Green Bay, WI - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Green Bay, WI Green Bay, Wisconsin |
About this job
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.
The Recovery/Resolution Associate is a
support role within our subrogation and payment recovery operations.
This role is responsible for gathering and organizing information to set
up cases for multi-payer claims for the analyst team.
Primary Responsibilities:
- Review pended claims for subrogation potential
- Review policy language for exclusions and process denials if needed
- Place outbound calls to other insurance carriers, attorneys and members to obtain necessary information for case setup
- Take inbound calls (5 - 20/day) from providers, attorneys, members and other business teams
- Manage a work queue and prioritize daily activities
- Analyze and identify trends and provides reports as necessary
- Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
Requirements
- An education level of at least a high school diploma or GED
- Working Hours M-F 8a-4:30p
- 2+ years experience in an office setting using a phone and computer
- 1+ year customer service experience
- Basic proficiency with MS Word and Excel
- Moderate proficiency with computer and Windows PC
applications, which includes the ability to learn new and complex
computer system applications
- Experience in claims recovery and resolution
- Experience in any of these areas: health insurance, insurance billing, property & casualty, auto insurance, workers
compensation, law firm, or subrogation - Knowledge of medical terminology
Soft Skills:
- Ability to navigate a computer while speaking on the phone
- 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.
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