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Senior Recovery/Resolutions Representative - Omaha, NE

UnitedHealth Group


Location:
Omaha, NE
Date:
03/24/2017
Job Code:
1727603
Apply on the Company Site
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Job Details


Senior Recovery/Resolutions Representative - Omaha, NE(Job Number:704362)
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 

Combine your detective skills and claims experience together in this specialty area of healthcare claims processing. If you are looking for advancement in the claims field, this position could be where you get to do your life's best work. (SM)   

 

As a Senior Recovery Resolution Representative, you'll be responsible for reviewing healthcare claims to uncover any inaccurate payments and then take the necessary steps to recover any overpayment of funds.  This means you'll review specific claim, member and contract information to determine if all is in compliance.  Communication, documentation and resolving any overpayments will then comprise the rest of your role.

 

Our office is located at 2717 N 118TH Street, Omaha, NE 68164.

 

Primary Responsibilities:

  • Provides claims support to our COB (Coordination of Benefits Group) by reviewing, researching, investigating, negotiating and resolving all types of claims related to incorrect or overpayments
  • Performs additional research verifying the member status, eligibility and coverage according to the specific contract to identify any issues/accuracy or the possibility of any third party responsibility
  • Completes on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements
  • Communicate via phone, letters or e-mails, overpayment information to payers/providers or members, including explanations of the reason for the overpayments
  • Negotiates with applicable parties (other insurance carriers, members, providers or attorneys)  the claim recovery amounts required,  secures payment  and ensures the crediting of the amount to the correct claim/overpayment. 
  • Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, and attendance  

Job Claim Recovery/Resol/COB/Subro
Primary Location US-NE-Omaha
Other Location 
Organization PI Operations
Schedule Full-time
Number of Openings 2
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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