Provider Recovery Specialist - Franklin, TN - Full-time / Part-time

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.

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.

The Provider Recovery Specialist  is responsible for incoming
and outgoing calls in regards to Provider overpayments and refunds. The
representative is responsible for managing inventory, working within
specific timeframes in a position where multitasking is key in order to
meet deadlines.

Positions in this function are responsible for
working in a fast-paced call production environment, using collection
skills and persuasion techniques to help meet financial targets, and
working with recovering and resolving accounts for health plans,
commercial customers, and government entities. Work in the position
includes inbound and outbound calling, working within multiple systems
and claim platforms, and balancing production, financial, and quality
goals. 

Primary Responsibilities: 

• Reviewing
  claim payments, offsets, and appeals in regards to overpaid claims for
  health plans, commercial customers, and government entities
• Analyze, identify trends, and provide reports as necessary
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
• Perform other duties as assigned
• Working independently and self-sufficiently
• Working as a mentor to others within the team
• Heavy emphasis on teamwork and communication

Requirements:      

• High School Diploma or GED
• 1+ years of customer service experience; i.e. analyzing and solving customer problems
• Intermediate level of proficiency with MS Excel; i.e. creating spreadsheets, sorting, filtering, etc.
• Must be available during hours of operation, 7:00am to 7:00pm Monday to Friday

Assets:     

• 1+ years of Call Center experience
• 
  

  1+
  years experience of working in healthcare (i.e. working in an insurance
  setting, in a provider's office, billing office, doctor's office, etc)
  or with medical insurance (i.e. dealing with insurance from a billing
  and/or health plan standpoint)

• Experience in medical claims and adjustments
• Experience
  within a Collector role; i.e. someone who has previously or is
  currently working in 3rd party or debt collector, delinquent accounts
  and collections from business and consumers
• Customer service experience in a healthcare and call center environment
  

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, national origin, protected veteran status, or disability status. 

UnitedHealth 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.