Overview

Senior Recovery / Resolutions Representative – Remote Jobs in Dallas at UnitedHealth Group


Title: Senior Recovery / Resolutions Representative – Remote

Company: UnitedHealth Group

Location: Dallas

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies,UnitedHealth Groupis restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas:Optum– a growing part of our family of companies that makeUnitedHealth Groupa Fortune 10 leader.

Optumhelps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it’s reimbursed. Now,UnitedHealth Groupinvites you to help us build a more accurate and precise approach to claims adjudication. As part of our Recovery and Resolutions team, you’ll help understand and overcome errors in claims processing. You’ll have all the tools and backing you need to help manage subrogation files, negotiate settlements and ensure adherence to compliance policies. All the while, you’ll be building your career with a leader and reaching for the highest levels of performance as you doyour life’s best work.SM

This is a challenging role with serious impact. You’ll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It’s a fast-paced environment that takes focus, intensity and resilience.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 7:00 AM – 7:00 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 – 6 weeks of training.Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

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

Analyze, identify trends and provide reports as necessary

Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

Manage subrogation files

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) OR equivalent work experience

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About UnitedHealth Group