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Recovery/Resolution Representative - Las Vegas, NV
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Las Vegas, NV Las Vegas, Nevada |
About this job
Job 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.
Primary Responsibilities:
Primary Responsibilities:
- Investigating, recovering and resolving all types of claim overpayments.
- Initiating telephone calls to members, providers and other insurance companies to gather data.
- Initiate recovery letters, manage monthly reports to insure timely completion.
- Process in-coming correspondence, phone calls and monies.
- Interact with coworkers from other departments to resolve recovery issues.
- Responsible for monitoring daily work flow, maintaining production, performance and quality standards.
- Perform job functions with a high degree of discretion and confidentiality in compliance with Federal, Department, and Company confidentiality guidelines.
- 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
Requirements
Requirements:
- High School Diploma / GED
- 1 + year of experience in collections, billing or payment of medical claims
- Intermediate 10-Key and typing skills
- Basic proficiency with Word, Access and Excel
- Basic knowledge of insurance and medical terminology
- Basic knowledge of state and federal laws and regulations applicable to claims recovery
Assets:
- 1 + year of accounting/bookkeeping experience
Soft Skills:
- Must be organized and detail oriented.
- Good written and oral communication skills required.
- Business appropriate interpersonal skills and telephone manners required
Careers at UnitedHealthcare Employer and Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.