Senior Recovery Resolution Representative

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.

Required Qualifications

• A High School Diploma or GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of healthcare claims experience.
• Full-time, Monday - Friday work schedule required.
• Ability to work flexible hours, including occasional overtime.

Preferred Qualifications

• 1+ years of experience in applications EDSS/Doc360, PICTS/CAP and Macess.
• 1+ years of experience with computer and Windows PC applications, including the ability to learn new and complex systems.
• Experience with the following Claims Platforms: ODAR, UNET, COSMOS, CPA, ISET, NICE, FACETS, CSP, and / or Oxford.
• Ability to research and understand history screens on multiple applications / platforms.

Telecommuting Requirements

• Ability to keep all company sensitive documents secure.
• Establish a dedicated work area that is separated from other living areas and provides information privacy.
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills

• Strong written and verbal communication skills.
• Ability to work in a team.

Pay and Benefits

The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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 candidates 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.