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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Claims

Country:

United States

Postal Code:

21701

Approximate Salary:

Not Specified

Position Type:

Full Time

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Supervisor Overpayment Collection Call Team - Frederick, MD

UHG - Frederick, Maryland

Posted: 08/22/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Positions in this function are responsible for recovering and resolving all types of overpayments to providers as well as recovery and resolution for health plans, commercial customers and government entities. This entails initiating telephone calls to providers and discussing the overpayment situations with the right party point of contact.  We need to progress the overpayment situation, move up the ladder and speak to all imperative parties to secure a refund or resolve the overpayment. It is our responsibility to address any issues or concerns and resolve barriers prohibiting our ability to recover the overpaid dollars.  Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
Primary Responsibilities:

  • Owns output at task level
  • Work is generally limited to own function
  • Sets priorities for the team to ensure task completion
  • Coordinates work activities with other supervisors
  • Develops plans to meet short-term objectives
  • Identifies and resolves operational problems using defined processes, expertise and judgment
  • Decisions are guided by policies, procedures and business plan
  • Product, service or process decisions are most likely to impact individual employees and/or customers (internal or external)

Requirements:
  • Bachelor's degree (or higher) or 5+ years of equivalent experience
  • 5+ years of experience in Medical Claims/Insurance, Professional Billing, and / or Collections
  • 5+ years of experience analyzing and solving customer problems
Preferred Qualifications:
  • 5+ years of experience working in the health care industry  
  • Medical healthcare terminology
  • Experience using 2 or more of the following Claims Platforms:  ODAR, UNET, COSMOS, CPW, ISET, NICE, FACETS, CSP,  and / or Oxford       
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company 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.


Keywords: Overpayments, Medical Claims, Collections, Billing, UHG, United Health Group, UHG

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