Senior Recovery / Resolutions Representative - Phoenix, AZ or Scottsdale, AZ

Phoenix, AZ
United States

UnitedHealth Group

10000+ employees

We're a Fortune 6 company on a global mission to help people live healthier lives while improving the health system and expanding access to quality care.

Empowering more than 85 million people worldwide with information, guidance and tools to make healthier choices makes our work demanding and requires us to adapt to constant change.

United by our values of Integrity, Compassion, Relationships, Innovation, and Performance, we're committed to creating better outcomes for our customers, partners and employees.

Diversity creates a healthier atmosphere: 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.

Our mission is to help people live healthier lives.

Company Info

Job description

Position Description:
Welcome to one of the toughest and mostfulfilling ways to help people, including yourself. We offer the latest tools,most intensive training program in the industry and nearly limitlessopportunities 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 Credit Balance Claims Operations 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 entitiesFundamental Execution: Plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast pace and ever changing environmentCommunicate 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 efficiencyAnticipates customer needs and proactively identifies solutions, be accountable for improving business operationsAccounts receivable follow up and resolutionAnalyze and identify trends and provide reporting as necessaryWork independently with little direct onsite supervisionEnsure adherence to state and federal compliance policies, reimbursement policies and contract compliance

Requirements:

High School Diploma / GEDAbility to solve mathematical equations and think analytically and strategicallyProficiency with PC and Windows which includes the ability to learn new systems quicklyExperience using MS Excel for sorting, summing, creating bar graphs, formulas Work a 40hr work week within the operating hours of Monday-Friday 6am-5pm     Ability to travel up to 25% of the time  

Assets:

Bachelor’s Degree (or higher)
Previous experience working in a client facing role and / or working onsite at a client site3+ years of experience in claims recovery and resolution or an operations based environmentHealthcare finance experience with a focus in auditing and / or analysis2+ years of Account Management or Customer Service experiencePrevious leadership experiencePrevious work within the community giving back or volunteering time and resources

Soft Skills:

Ability to work in a dynamic environment both independently and in a group settingStrong Communication and Customer Service skills

Physical Requirements and Work Environment:

Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse, speaking, listening using a headset.Business office environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

Careerswith Optum.Here's the idea. We built an entire organization around one giant objective;make the health system work better for everyone. So when it comes to how we usethe world's large accumulation of health-related information, or guide healthand lifestyle choices or manage pharmacy benefits for millions, our first goalis to leap beyond the status quo and uncover new ways to serve. Optum, part ofthe UnitedHealth Group family of businesses, brings together some of thegreatest minds and most advanced ideas on where health care has to go in orderto reach its fullest potential. For you, that means working on high performanceteams against sophisticated challenges that matter. Optum, incredible ideas inone incredible company and a singular opportunity to do your life's bestwork.SM
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.

Keywords: UHG, Optum, Phoenix, Scottsdale, AZ, Arizona, recovery, resolution, analyst, representative, hospital

Work location: Phoenix, AZ

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