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Senior Client Account Specialist - Franklin, TN

UnitedHealth Group

Franklin, TN
Job Code:
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Job Details

Senior Client Account Specialist - Franklin, TN(Job Number:730300)

Position Description:

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.

Senior Client Account Specialists are tasked with maintaining Optum's business relationship at the customer level.

Primary Responsibilities:

Fundamental Execution:

  • Working typically in an independent role but as part of a larger team
  • Ability to work with little onsite direct supervision
  • Arrive at work on time and maintain a consistent schedule as set by the Manager
  • Utilize the time entry system to clock in / out at your arrival and departure times. The time entries should be accurate and entered daily
  • Must be able to prioritize and complete multiple tasks daily in a fast paced environment
  • Communicate and / or meet with the client appropriately  to ensure Optum is meeting the needs and expectations of the customer and build a good rapport with the customer contacts by establishing professional working relationships to ensure operational efficiency
  • Meet and exceed the production and quality goals set forth by both Optum and the customer.  This includes meeting deadlines for specified projects and making sure that expectations are consistently being met
  • Generate necessary reporting, daily / monthly / quarterly / annually and as requested by client
  • Anticipate customer needs and proactively identify solutions, be accountable for improving business operations
  • Assist in on - boarding, training and mentoring to new and existing employees
  • Attend and facilitate meetings as directed by manager with team, clients and business partners
  • Ensure successful implementation of new clients
  • Read emails periodically throughout the day based on the expectations set by your manager and respond within requested time frame
  • Keep in close contact with manager in order to receive and give information relating to Optum, our customers and the CAS role (Discussion will include production / metrics, customer interaction, employee development, achievements, issues, coaching logs etc.)
  • Maintain one on one log weekly, bi - weekly or monthly per designated meeting schedule
  • Initiate communication and work with the data mining, PRS, Field, analytics, TPL and SAS to enhance payer relationships to improve our business operations
  • Ensure Optum customer goals align with the customer's expectations
  • Utilize inventory manager by line of business to ensure multiple inventories are maintained at acceptable levels
  • Follow up on outstanding AR to initiate payment for fee on claims with customer contacts and adhere to the AR guidelines set forth by the manager
  • Resolve suspense / research claims on a daily basis
  • Respond to OZ tickets to maintain service level agreement thresholds
  • Manage multiple claim inventories Credit Balance, EPN / PPN, Data Mining, TPL, SAS, PRS
  • Run reporting and conduct analysis to assist with client business reviews monthly, quarterly or annually
  • Maintain corporate standards for PHI protection, privacy, and data security
  • Drive NPS scores by delivering quality work, addressing client concerns and ensuring upfront (RAM Instructions) are updated and current
  • Display the Core Values by knowing and living the Optum culture in all daily activities
  • Understand and respect the customer’s culture while exemplifying the Optum values
  • Be open to participating in Volunteer activities as presented

Job Service Account Management
Primary Location US-TN-Franklin
Other Location 
Organization Optum Ops-Payment Integrity
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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