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Senior Recovery Resolutions Analyst - Franklin, TN

UnitedHealth Group


Location:
Franklin, TN
Date:
03/24/2017
Job Code:
1712448
Apply on the Company Site
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Job Details


Senior Recovery Resolutions Analyst - Franklin, TN(Job Number:698172)
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.SM

Primary Responsibilities:

  • Audit paid claims data to identify duplicate payments or contractual, billing, and claim processing errors
  • Initiate phone calls to providers, employer groups, and other insurance companies to gather pertinent claim information, such as verification of billed charges, confirmation of services received, and coordination of benefits information
  • Work directly with other departments to enhance and refine assigned inventory to maximize value
  • 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
  • Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization.
  • Investigate and identify overpayments on all claims types, as well as assist in recovery and resolution for health plans, commercial customers, and government entities as needed
  • Generally work is self-directed and not prescribed.
  • Works with less structured, more complex issues.
  • Serves as a resource to others.

Job Claim Recovery/Resol/COB/Subro
Primary Location US-TN-Franklin
Other Location 
Organization Optum Ops-Payment Integrity
Schedule Full-time
Number of Openings 21
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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