13 days old

Associate Recovery Resolutions Representative - Indianapolis, IN, and Lawrenceville, IL

Indianapolis, IN 46204
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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.SM


Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.


Primary Responsibilities:

  • Setting up files for investigation (use of multiple systems to pull information, Adobe Pro to create internal files, Word/Excel, etc.).
  • Requesting medical records from providers (in writing/phone and/or fax)
  • Use internal and external resources (i.e., the internet) to locate provider fax/phone numbers.
  • Calling and speaking to providers about the status of medical record requests.
  • Manage file follow-up dates with multiple due dates.
  • Ability to work in a dynamic environment, both independently and in a group setting
  • Ability to review Healthcare claims to determine type of provider, identify patient, ICD-10/CPT codes, etc.

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.

Posted: 2020-03-25 Expires: 2020-05-03

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Recovery Resolutions Representative - Indianapolis, IN, and Lawrenceville, IL

UnitedHealth Group
Indianapolis, IN 46204

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