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 Senior Claims Recovery/Resolution Representative - Eden Prairie, MN - Eden Prairie, Minnesota, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Administrative - Financial Processing
Customer service & support
Insurance
 
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 523225 / Latpro-2498111 
Date posted: Jun-05-2013
State, Zip: Minnesota, 55344

Description

PositionDescription:

 

Flexible?Friendly? Fast on your feet? That's a great start. Accurate? Accountable? SelfDirected? These traits can take you places. Our claims operations are the focalpoint of handling information about services patients receive and they waythose services get paid. It's complex, detailed work. It's fast pacedchallenge. 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 dullmoment.

PrimaryResponsibilities:

  • Provide expertise claims 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 and identify trends and provides reports as necessary
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance




Requirements

Requirements:

  • High school education or GED required
  • 1+ year of basic usage with Microsoft Word, Excel and Outlook required
  • 1+ year of experience in at least one of the following categories: workers compensation, insurance, legal, subrogation, or collections
  • 1+ year of negotiation experience
  • 1+ year of experience with effective writing in a corporate setting of professional correspondence, emails, etc.

Assets:

  • Microsoft Power Point and Access experience is a plus
  • Experience working with sensitive Protected Health Information preferred
  • Typing minimum 35+ WPM preferred

 

OptumInsight is part of thefamily of companies that make UnitedHealthGroup one of the leaders across most major segments of the UShealth care system.

OptumInsight is one of the largest and fastest growing health informationcompanies. We specialize in improving the performance of the health system byproviding analytics, technology and consulting services that enable betterdecisions and results. We integrate workflow solutions that deliver data inreal-time, and create actionable insights - processing health information thatrelates directly to and affects one in four patients in the U.S., one in everythree Medicaid dollars and one in every five emergency room visits. And we doit all with every action focused on our shared values of Integrity, Compassion,Relationships, Innovation & Performance.

What can YOU do with the right information? At OptumInsight, the possibilitiesand the impact are limitless. No matter what your role is at OptumInsight,you'll be empowered to ask more questions, develop better solutions and helpmake the health care system greater than ever. It's always fresh. It's alwaysexciting. And it's never been more important.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass adrug test before beginning employment. In addition, employees in certainpositions are subject to random drug testing.

 


 

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