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Senior Recovery / Resolutions Representative - Dayton, OH

UnitedHealth Group


Location:
Dayton, OH
Date:
03/28/2017
Job Code:
1729638
Apply on the Company Site
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Job Details


Senior Recovery / Resolutions Representative - Dayton, OH(Job Number:706401)
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.


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 Senior Recovery / Resolutions Representatives 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

Job Claim Recovery/Resol/COB/Subro
Primary Location US-OH-Dayton
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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