Senior Recovery Resolution Representative,

UnitedHealth Group; Brentwood (TN); On-site; USD 28,000 - 50,000; Full time

Job summary

UnitedHealth Group in Brentwood, TN is seeking a full-time Onsite Claims Specialist to handle inbound calls with providers, discuss and resolve overpayments, and deliver claims expertise support to health plans, commercial customers, and government entities.

This role requires a High School Diploma, 1+ year claims or collections experience, strong MS Word/Excel/Outlook skills, and availability to work 7:55 AM–4:25 PM, Monday to Friday, onsite at 12 Cadillac Dr, Brentwood, TN 37027.

Qualifications

• High School Diploma or equivalent.
• 1+ years of claims, collections, billing, or handling overdue payments.
• 1+ years of customer service with solving customer problems.
• Ability to use Word, Excel, and Outlook for daily tasks.

Responsibilities

• Take inbound calls from providers or make outbound calls to discuss and resolve overpayments (majority on phones).
• Provide claims expertise by reviewing, researching, negotiating, and resolving claims for health plans, commercial customers, and government entities.
• Plan, prioritize, organize and complete work to meet production goals in a fast-paced environment.
• Communicate professionally with providers to ensure needs are met and recoveries are timely.
• Escalate recovery efforts as needed to progress and resolve cases.
• Analyze trends and provide updates to clients as necessary.
• Comply with state and federal policies, reimbursement policies, and contracts.

Skills

Customer service

Data entry

Communication

Education

High School Diploma

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

This position is Onsite. Our office is located at 12 Cadillac Dr, Brentwood, TN 37027.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? 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 normal business hours of 7:55 AM - 4:25 PM. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours during training will be during normal business hours, Monday - Friday.

Primary Responsibilities

• Take inbound calls from providers and/or make outbound calls to providers to discuss and resolve outstanding overpayments (95% of your day can be on phones)
• Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims as well as recovery and resolution 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 professionally with the provider to ensure PRS is meeting the needs and expectations of the client; build a good rapport with the provider contacts by establishing professional working relationships to ensure timely recoveries
• Escalate recovery efforts through many avenues to progress and resolve the situations
• Analyze, identify trends, and provide inventory and or client updates as necessary
• Must meet state and federal compliance policies, reimbursement policies, and contract compliance
• Works independently while acting as a resource and mentor for others.
• Perform other duties as assigned

This is a high-volume, customer service and collections environment. You must be efficient, productive, and detail-oriented when interacting with providers and members via phone and electronic communication.
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
• Must be 18 years of age OR older
• 1+ years of experience in claims, collections, billing, or handling overdue payments
• 1+ years of customer service with analyzing and solving customer problems
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Ability to work full time onsite at 12 Cadillac Drive, Suite 300 Brentwood, TN 37027
• Ability to work our normal business hours of 7:55 AM - 4:25 PM, Monday - Friday. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

• Provider overpayment recovery experience or debt collection
• Call center experience
• Professional billing experience
• Experience with negotiations and direct client interactions
• Work experience within the community giving back or volunteering time and resources
• Experience working within the healthcare industry

Soft Skills

• Ability to work in a dynamic environment both independently and in a group setting
• Strong Communication and Customer Service skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $20 - $36 hourly based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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