Recovery Resolutions Team Lead - Franklin, TN

Company Name:
UnitedHealth Group Feed
Position Description:
Energize your career with one of health care's fastest growing companies.
You dream of a great career with a great company ‚EUR" 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 health care 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 ‚EUR"a growing part of our family of companies that make UnitedHealth Group a Fortune 17 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 health care 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 & Performance.
The Recovery
Department is responsible for incoming and outgoing calls in regards to Provider overpayments and refunds. The team members are responsible for managing inventory, working within specific timeframes in a position where multitasking is key in order to meet deadlines. The Team Lead is responsible for acting as a mentor, training resource and subject matter expert for the agents in this position.
Positions in this function are responsible for working in a fast-paced call production environment, using collection skills and persuasion techniques to help meet financial targets, and working with recovering and resolving accounts for health plans, commercial customers, and government entities. Work in the position includes inbound and/or outbound calling, working within multiple systems and claim platforms, and balancing production, financial, and quality goals.
Primary Responsibilities:
Analyze, identify trends, and provide reports as necessary
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Assist supervisor with various duties as needed
Working independently and self-sufficiently
Heavy emphasis on teamwork and communication
Monitor and track phone metrics and inventory
Take Escalations calls as needed from customers
Be available as a resource for questions and concerns among team
Provide training on new processes and procedures
Provide training to new employees
Be able to speak and present in team and department meetings
High School Diploma or GED is required
2+ years of healthcare experience; i.e. working in an insurance setting, in a provider's office, billing office, doctor's office, etc.
1+ year Medical Insurance background is required; i.e. dealing with insurance from a billing and/or health plan standpoint
1+ year of customer service experience; i.e. analyzing and solving customer problems
Intermediate level of proficiency with MS Excel; i.e. creating spreadsheets, sorting, filtering, etc.
Experience in medical claims and or adjustments
Experience within a Collector role is highly preferred; i.e. someone who has previously or is currently working in 3rd party/ debt collections, delinquent accounts and/or collections from business and consumers
Customer service experience in a healthcare and/ or call center environment is preferred
Previous experience as a Supervisor or Team Lead
Experience with the creation and presentation of training materials
Familiarity with coaching and providing feedback
At Optum , you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job ID: 547099
Name: 547099 Recovery Resolutions Team Lead Franklin TN
Openings: 1
Title: Recovery Resolutions Team Lead - Franklin, TN
Family: Claims
Function: Claim Recovery/Resolution
Business Segment: Optum Shared Services
Business: Optum Shared Services
Business Segment: Optum SS - Transactions
Division: OSS - Payment Integrity
Region: North America
united states
State/Province Code: TN
City: Franklin
Employee Status: Regular
Schedule: Full-time
Job Level: Individual Contributor
Shift: Day Job
Travel: No
Telecommuter Position: No
Delivery Model: Gold
Status: Open
Status Detail: Sourcing
Citizenship Status: Other Visa Accepted
Overtime Status: Non-exempt
Opening Date External: 2014-03-12T00:00:00
Closing Date External: 0001-01-01T00:00:00
Creation Date: 2014-02-17T00:00:00
Modification Date: 0001-01-01T00:00:00

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