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Senior Recovery Resolution Analyst - Franklin, TN

UnitedHealth Group


Location:
Franklin, TN
Date:
11/24/2017
2017-11-242017-12-23
Job Code:
739329
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Job Details

739329 Senior Recovery Resolution Analyst Franklin TN

Senior Recovery Resolution Analyst - Franklin, TN (739329)

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 Analyst will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules.


This position is full-time (40 hours/week) Monday- Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8am - 5pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1009 Windcross Ct, Franklin, TN 37067.


Responsibilities:

  • Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
  • Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
  • Investigate and pursue recoveries and payables on subrogation claims and file management
  • Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits information
  • Process recovery on claims
  • Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance 
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise

Required Qualifications:

  • High school diploma or GED
  • Experience working with medical claims platforms
  • 2+ years of experience with claims auditing and researching claims information
  • 1+ year of experience analyzing data and identify cost saving opportunities
  • Knowledge of claims processing systems and guidelines/processes
  • Intermediate skills with Excel
  • Experience in healthcare

 

Preferred Qualifications:

  • An undergraduates degree or higher
  • 1+ year project management experience
  • Knowledge of Medicaid/Medicare Reimbursement methodologies
  • MS Access

 

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 computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity


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.SM


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.

Job Details

  • Contest Number739329
  • Job TitleSenior Recovery Resolution Analyst - Franklin, TN
  • Job FamilyClaims
  • Business SegmentOptum Operations

Job Location Information

  • Franklin, TN
    United States
    North America
  • Other LocationsBrentwood, TN

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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