Recovery/Resolution Representative - Franklin, TN

Company:	UnitedHealth Group Company Profile \| Current Opportunities (30)
Job Location(s):	Franklin
Employment Term:	Regular
Employment Type	Full Time
Start Date:	As soon as possible
Starting Salary Range:	Not Provided
Required Experience:	Open
Related Categories:	Healthcare - Administration/Billing, Insurance - Claims, Insurance - Risk/Loss Control

Position Description

Recovery/Resolution Representative - Franklin, TN-330335

Description

Position Description:

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.

We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.

As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.

Qualifications

Qualifications:

2 years of healthcare billing experience is required
2 years of collections experience is required
Microsoft Office suite (Word/Excel) experience preferred
Internet skip tracing skills is a plus
High school diploma/GED is required
College degree or 5 years equivalent work experience preferred

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

UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Claim Recovery/Resolution

Primary LocationUS-TN-Franklin

Organization Credit Balance Operations

Schedule Full-time

Number of Openings 1