Position Description: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 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. The Recovery / Resolution Representative role handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. This role has 2 primary functions. First, you will be reviewing and analyzing contract rates on 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 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. Regional Account Managers are responsible for regular communication with client contacts at all levels to follow-up on open AR, discuss reporting and any assigned projects etc. 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:Plan, prioritize, organize and complete work to meet established production goals or quotas in a fast pace and ever changing environment Provide expertise in credit balance adjudication by reviewing, researching, and resolving all types of accounts as well as providing resolution outcomes for health plans, commercial customers and government entities Establish professional working relationships to ensure operational efficiency Anticipates customer needs and proactively identifies solutions Accounts receivable follow up and resolution Analyze and identify trends and provide reporting as necessary Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
Requirements:High School Diploma / GED or higher Intermediate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications Experience with Excel required (i.e. sorting, summing, creating bar graphs, formulas)Experience working in a client facing role and / or working onsite at a client site Experience in a Customer Service Role Ability to travel, up to 25% of the time (generally local, but some overnight) requiredAssets:3+ years of experience in claims recovery and resolution or an operations based environment Healthcare finance experience with a focus in auditing and/or analysis 2+ years of Account Management experience Bachelor's Degree preferred Previous leadership experience Previous work within the community giving back or volunteering time and resourcesSoft Skills:Ability to work in a dynamic environment both independently and in a group setting Strong Communication and Customer Service skillsPhysical 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 activityCareerswith 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.SMDiversity 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.Key Words:Houston, TX, UHG, Recovery/Resolutions Representative, credit balance recovery representative
Internal Number: 750712
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.