Senior Recovery/Resolutions Representative - US Telecommute

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.SM The Senior Recovery/Resolution Representative handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. The representative manages subrogation files, negotiates settlements, and ensures adherence to compliance policies.  They are responsible for overseeing overpayments made by UHG and then they ensure that the funds get back to the proper group by working in several databases and having a high integrity for details. Primary Responsibilities:Provide claims expertise 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 entitiesAnalyze, identify trends, and provide reports as necessaryEnsure adherence to state and federal compliance policies, reimbursement policies, and contract complianceManage subrogation filesPerform other duties as assigned

Qualifications:High school diploma or GED1+ years of claims or collections experience within the healthcare industry1+ year of customer service experience analyzing and solving customer problems1+ years of experience working with computers and Windows PC applicationsAssets:1+ years working experience with processing C&S, M&R or E&I refundsExperience working with LBWS and ODARExperience with UHG platforms and computer systems.Experience working with MS Word (document creation), MS Excel (data entry), and MS Outlook (sending emails)1+ years experience using claims platforms such as UNET, COSMOS, NICE, Facets, Diamond, etc.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 computerService center environment with moderate noise level due to Representatives talking, computers, printers, and floor activityUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.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.SMDiversity 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