Recovery Resolution Representative - National Remote

Company: UnitedHealth Group
Location: Orlando
Posted on: September 14, 2023

Job Description:

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.

Positions in this function are responsible for investigating, recovering, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers, and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.
This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 7:00am - 3:30pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.--
We offer 1 week of training with Team Lead via Teams (one on one training). The hours during training will be 7:00am to 3:30pm CST, Monday - Friday.----Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities:

• Open, sort, date stamp, count, scan and document in case management system the receipt of file correspondence, including revenue checks. Distribute correspondence to staff accordingly
  
• Answer incoming phone calls in a polite and professional manner. Facilitate the handling of callers' request for information. Route calls to other staff members; take and deliver accurate and complete messages as appropriate. Screen calls and initiate resolution of questions/issues without consultation with others
  
• Assist staff and/or the management team with case investigation, research or development as needed
  
• File Maintenance/Archiving
  
• Other Administrative duties as assigned by manager
  
• Moderate work experience within own function.
  
• Some work is completed without established procedures.
  
• Basic tasks are completed without review by others.
  
• Supervision/guidance is required for higher level tasks.
  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)
    
  • 1+ years of experience within an operations support role (i.e., previous administrative background involved with performing administrative duties on a day-to-day basis)
    
  • Proficiency with Microsoft Word and Excel (Word - documentation purposes; Excel - data entry for reporting purposes)
    
  • Ability to work our normal business hours of 7:00am - 3:30pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.--
    Telecommuting Requirements:
    
    • Ability to keep all company sensitive documents secure (if applicable)
      
    • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
      
    • 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:
      
      • Excellent organizational skills
        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 $16.00 - $27.31.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.
        #RPO #GREEN

Keywords: UnitedHealth Group, Orlando , Recovery Resolution Representative - National Remote, Other , Orlando, Florida