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?
Payment Resolution Services (PRS) is a call center with 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.
The PRS Recovery Representative works as a liaison regarding information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. The representative works directly with providers to recover over - payments through multiple communication methods including phone, email, fax and postal mail. Your job will be 2 fold with 20% customer service which will result in 80% collections. 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.
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
Analyze, identify trends, and provide inventory and or client updates as necessary
Must meet state and federal compliance policies, reimbursement policies, and contract compliance
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.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.