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Recovery Resolution Specialist - San Antonio, TX

Company: UnitedHealth Group
Location: San Antonio
Posted on: November 23, 2021

Job Description:

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)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 Group invites 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. 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 (6:00am - 6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 12459 Network Blvd. San Antonio, TX.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
  • 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 resilienceYou'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
    • 1+ years of experience in claims or collections
    • 1+ years of experience in analyzing and solving customer problem
    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.Preferred Qualifications:
      • Experience working with subrogation
      • Experience with negotiations
      • Experience working in the health care industryUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)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.Job Keywords: Recovery Resolution Specialist, Claims, Policies, Subrogation, Negotiations, San Antonio, TX, Texas

Keywords: UnitedHealth Group, San Antonio , Recovery Resolution Specialist - San Antonio, TX, Other , San Antonio, Texas

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