Senior Recovery/Resolutions Representative - National Remote

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our regular business hours CST OR PST . It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

• Provide expertise by reviewing, researching, resolving all accounts from credit balance to bring final resolution and root cause analysis for health plans, commercial clients, and government entities
• Fundamental Execution:
  • Plan, prioritize, organize, and complete work to meet established production goals required by provider and payer clients, Optum goals, quotas, and deadlines in a fast-paced ever-changing environment.
  • Provide top quality by researching accounts fully, reviewing and adhering to payer, provider and Optum quality requirements.
• Client facing account management:
  • Represent Optum and Optum's core values; act as a liaison between provider clients, Optum and payer clients.
  • Communicate and/or meet with the provider client appropriately to ensure Optum is meeting their needs and expectations. Building a good rapport with the provider client contacts by establishing professional working relationships to ensure operational efficiency.
  • Anticipates client needs and proactively identifies solutions.
  • Be accountable for improving business operations.
• Inventory Management:
  • Account's receivables follow up, resolution and ensuring AR is resolved within 30 days. Follow up includes researching why inventory is outstanding with the provider and payer clients.
• Manage multiple different inventory work queues and workflows including:
  • Multiple payers, provider client referred inventory and unsolicited inventory.
• Reporting & Analysis:
  • Analyze and identify trends, provide reporting as necessary to the provider clients, management, and Client Services.
  • Utilize various reports to manage inventory, follow up as needed and drive client relationships
• Work independently with little direct onsite supervision.
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)
• 3 years of claims recovery experience
• 2 years of account management experience
• 2 years Healthcare finance experience with a focus in auditing and/or analysis
• Intermediate proficiency with PC and Windows
• Basic proficiency in math, thinking analytically and strategically
• Ability to travel, up to 25% of the time (generally local, but some overnight)
• Intermediate level of proficiency with Microsoft Excel (i.e., sorting, summing, creating bar graphs, formulas)
• Ability to work CST OR PST
• Ability to work 40 hours per week, 8-hour shifts during regular business hours, Monday-Friday including overtime if business needs dictate but not regularly

Preferred Qualifications:

• Bachelor's Degree (or higher)
• 3 years of experience in claims recovery and resolution, or an operations-based environment
• 2 years of Account Management or Customer Service experience
• Previous leadership experience
• Previous work within the community giving back or volunteering time and resources
• Previous experience working in a client facing role and/or working onsite at a client site

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong communication and customer service skills.
• Exceptional organizational/time management skills.
• Ability to work in a dynamic environment both independently and in a group setting

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $18.80 - $36.78.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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