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

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The United Recovery Services Team is a call center responsible for making outbound calls and / or handling inbound calls. In addition, we are responsible for answering queries from the Direct Connect portal. The reps work directly with health care providers to coordinate recovery / collection of overpayments. The team reviews overpayment situations, resolves, and recovers dollars for health plans, commercial customers, and government entities. This position handles overpaid claim inventory through telephone contact with the provider, which includes physician and, facility, etc.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:25am - 6:10pm EST).

We offer 11 weeks of paid training. The hours during training will be 8:25am - 6:10pm EST, Monday - Friday. 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
• Take inbound calls from providers and/or make outbound calls to providers to discuss and resolve outstanding overpayments (95% of your day can be on phones)
• Work in a portal to answer queries for the Direct Connect process.
• With a focus on building a strong working rapport with the provider representatives to review and discuss overpayment situations and provide detailed explanations to the providers in both verbal and written format
• Escalate recovery efforts through many avenues to progress and resolve the situations
• Strive to meet and exceed metric goals (quality, adherence, after call work, etc.)
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
• Complete required documentation on all recovery efforts on a timely basis within the appropriate systems
• Perform other duties as assigned

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.

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
• Must be 18 years of age OR older
• 1+ Medical Claims, Professional Billing, and / or Collections
• 1+ years of experience analyzing and solving customer problems.
• Ability to work in multiple systems while on the phones.
• Ability to work any of our 8-hour shift schedules during our normal business hours of (8:25am - 6:10pm EST).

Preferred Qualifications:

• Experience working with subrogation
• Experience with negotiations
• Experience working in the health care industry
• Medical healthcare terminology
• Experience using 2 or more of the following Claims Platforms: ODAR, UNET, COSMOS, CPA, ISET, NICE, FACETS, CSP, and / or Oxford

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

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.

#RPO

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