UnitedHealth Group · 2 days ago
Recovery Resolution Analyst
Wonder how qualified you are to the job?
Health CareHospital
Insider Connection @UnitedHealth Group
Responsibilities
Complete COB investigations per documented process
Understand and navigate NAIC and Medicare order of benefits rules
Perform online eligibility verifications
Make outbound phone calls to Other Insurance Carriers, providers, and/or members
Update Core operating system (Facets)
Update and track results via Excel spreadsheets
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
High School Diploma / GED
18 years of age OR older
2+ years Coordination of Benefits experience
2+ years experience of working in a call-center (inbound / outbound) environment
2+ years experience of reading, interpreting, and following complex process documentation
Microsoft Excel
Microsoft PowerPoint
Ability to work full time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 7pm. It may be necessary, given the business need, to work occasional overtime
Preferred
2+ years Community and State (C&S) experience
2+ years Employer and Individual (E&I) experience
2+ years Medicare and Retirement (M&R) experience
OCSP, CSP, or Sierra Facets platform knowledge and experience
Knowledge of NAIC and Medicare guidelines
Microsoft Visio
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealth Group
UnitedHealth Group is a healthcare insurance company that offers health technology, health financial, and pharmacy services.
Funding
Current Stage
Public CompanyTotal Funding
unknown2021-08-25Post Ipo Equity· Undisclosed
1984-10-26IPO· nyse:UNH
Recent News
2024-04-06
2024-03-08
2024-02-25
Company data provided by crunchbase