Senior Recovery / Resolutions Representative - Remote

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

This role handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various parties. The Regional Account Manager role is responsible for reviewing, researching, and analyzing accounts for our provider clients and resolving overpayments for all lines of business.

As a RAM, you will be required to use basic math in all your daily activities. As field-based employees who work onsite at our clients' offices, relationship building, and growth are another crucial function of the position. Acclimating to our clients' environment and learning about their primary goals and objectives is essential and ensures a successful partnership. Responsibilities include communicating with client contacts at all levels about open AR, reporting and projects, and identifying opportunities for growth of the business partnership.

Optum offers the latest tools along with the most intensive training program in the industry and nearly limitless opportunities for advancement. This position also offers quarterly incentives based on performance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Provide expertise by reviewing, researching, resolving all accounts from credit balance to bring final resolution and root cause analysis for health plans, commercial clients, and government entities
• Fundamental Execution:

• Plan, prioritize, organize, and complete work to meet established production goals required by provider and payer clients, Optum goals, quotas, and deadlines in a fast-paced ever-changing environment.
• Provide top quality by researching accounts fully, reviewing and adhering to payer, provider and Optum quality requirements.

• Client facing account management:

• Represent Optum and Optum's core values; act as a liaison between provider clients, Optum and payer clients.
• Communicate and/or meet with the provider client appropriately to ensure Optum is meeting their needs and expectations. Building a good rapport with the provider client contacts by establishing professional working relationships to ensure operational efficiency.
• Anticipates client needs and proactively identifies solutions.
• Be accountable for improving business operations.

• Inventory Management:
  • Account's receivables follow up, resolution and ensuring AR is resolved within 30 days. Follow up includes researching why inventory is outstanding with the provider and payer clients.
  • Manage multiple different inventory work queues and workflows including:
    • Multiple payers, provider client referred inventory and unsolicited inventory.
• Reporting & Analysis:
  • Analyze and identify trends, provide reporting as necessary to the provider clients, management, and Client Services.
  • Utilize various reports to manage inventory, follow up as needed and drive client relationships
• Work independently with little direct onsite supervision.
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.

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 (or higher)
• Intermediate experience in math (spreadsheet calculating).
• Intermediate proficiency with PC and Windows. (Open applications, send emails and conduct data entry)
• Intermediate level of proficiency with Excel required (i.e., sorting, summing, creating bar graphs, formulas).
• Ability to travel, up to 25% of the time.
• Ability to work EST or CST hours
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

• Bachelor's Degree (or higher)
• Previous experience working in a client facing role and/or working onsite at a client site.
• 3+ years of experience in claims recovery and resolution, or an operations-based environment.
• Healthcare finance experience with a focus in auditing and/or analysis.
• 2+ years of Account Management or Customer Service experience.
• Previous leadership experience.

Telecommuting Requirements:

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

Soft Skills:

• Strong communication and customer service skills.
• Exceptional organizational/time management skills.

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $17.12 - $30.34. The salary range for Connecticut / Nevada residents is $18.80 - $33.41. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

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.

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