Senior Recovery Analyst - San Diego, CA

Position Description:
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 entities
Fundamental Execution: Plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast pace and ever changing environment
Communicate 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 efficiency
Anticipates customer needs and proactively identifies solutions, be accountable for improving business operations
Accounts receivable follow up and resolution
Analyze and identify trends and provide reporting as necessary
Work independently with little direct onsite supervision
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

Required Qualifications:


Bachelor’s Degree or Higher
2+ years of experience with computers and Windows PC Application
Intermediate level of proficiency with Excel required (i.e. sorting, summing, creating bar graphs, and formulas) 
Working Hours - business hours - 40-hours standard, over-time 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) may be required
Preferred Qualifications:


Previous experience working in a Client Facing role and/or working onsite at a client site
3+ years of experience in Claims Recovery and Resolution or an Operations based environment
Healthcare Finance experience with a focus in Auditing and/or Analysis
2+ years of Account Management or Customer Service experience
Previous Leadership experience
Soft Skills:


Basic proficiency in math and thinking analytically and strategically

 Previous work within the community giving back or volunteering time and resources

Ability to work in a dynamic environment both independently and in a group setting

Strong 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, computers, printers, and floor activity
Optum is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.Optum is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the U.S., one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.What can YOU do with the right information? At Optum, the possibilities and the impact are limitless. No matter what your role is at Optum, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.

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.