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Recovery / Resolutions Analyst - Brentwood, TN

UnitedHealth Group


Location:
Brentwood, TN
Date:
03/24/2017
Job Code:
1733266
Apply on the Company Site
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Job Details


Recovery / Resolutions Analyst - Brentwood, TN(Job Number:707730)
Description

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.

The Recovery / Resolution Analyst handles information about patient services and how the 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.

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

Primary Responsibilities:

  • Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
  • Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits
  • Investigate and pursue recoveries and payables on subrogation claims and file management
  • Process recovery on claims
  • Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
  • Perform other duties as assigned

Job Claim Recovery/Resol/COB/Subro
Primary Location US-TN-Brentwood
Other Location 
Organization PI Operations
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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