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Manager Recovery / Resolutions - Frederick, MD

03/09/2018Call Center
Job Location:
Frederick, MD
Metro Area:
DC - Washington DC (Hagerstown)
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Position Description:   Energize your career with one of Healthcare’s fastest growing companies.     You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.   This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.   Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.   You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.   The changes impacting health care are adding new complexity and new challenges by the day. Today, new models of care and new networks of providers are emerging to better serve patients and communities. UnitedHealth Group is an innovation leader in creating new levels of system performance and effective levels of diligence and accuracy in billing, reimbursements and audits. That's where you come in. As a leader on our network management team, you'll oversee teams of analysts and consultants who identify and correct errors of individual network members and systems. As part of the team, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.   Primary Responsibilities: Oversee a team 50+ Call Agents, Team Leads, and SME’s etc. who perform outbound overpayment recovery collection calls to providers Manage team financial, production and quality targets Coordinates the daily activities of the recovery call team Understand the issues and potential obstacles, offering ideas in solving for them Develop and coach staff Onboard new hires through ramp up coaching Educate staff on audit and recovery operations (e.g., claims processes; policies and procedures, documents, systems) Set team direction, resolve problems and provide guidance to team members May oversee work activities of supervisors Work with internal partners (provider advocates, Network management, UHC) to resolve overpaid claims Adapt inventory strategy as needed based on business needs and targets Handle escalated call backs as needed Partner with Workforce Management to implement team schedules, training, etc. Oversee scheduling adherence Review and address quality review results Create and update policies and procedures as needed


Required Qualifications: Bachelor's Degree or higher 3+ years supervisory experience with direct reports 3+ years of combined medical claims, adjustments, appeals and / or collections experience Experience analyzing inventory, researching, identifying, and resolving issues Experience sorting, summing, creating bar graphs, VLOOKUP, pivot tables, and formulas within Microsoft Excel Experience creating presentations via Microsoft PowerPoint Preferred Qualifications: Call center experience 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.   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: Medical Claims, Adjustments, Appeals, Collections manager, leadership and Frederick, Maryland
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