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Senior Recovery Resolution Analyst - Remote

Company: UnitedHealth Group
Location: Hartford
Posted on: January 13, 2022

Job Description:

You 'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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 The Senior Recovery/Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. *All Telecommuters will be required to adhere to UnitedHealth Group 's Telecommuter Policy.Primary Responsibilities:

Perform clinical review of professional claims vs. medical records to determine if the claim is supported or unsupported. Maintain standards for productivity and accuracy. Provide clear and concise clinical logic to the providers when necessary. Attend and provide feedback during monthly meetings with assigned internal customer department. Provide continuous feedback on how to improve the department relationships with internal team members and departments. Keep up required Coding Certificate Complete compliance hours as required by the department. 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)CPC or CCS certificate - Working knowledge of medical terminology and claim coding.Knowledge of claims processing systems and guidelines/processesIntermediate skills with Microsoft Excel (create, edit, sort, filter)Preferred Qualifications:
1+ years of Medical record coding experience with experience in Evaluation and Management Services in the professional setting. Knowledge of Medicaid/Medicare Reimbursement methodologies Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacyAbility 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 serviceUnitedHealth 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.SMColorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $25.63 - $45.72. The salary range for Connecticut / Nevada residents is $28.27 - $50.29. 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 incentivesDiversity 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: UnitedHealth Group, UnitedHealthcare, Optum, health care, office, phone support, customer service, billing, training class, now hiring, jobs, career, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Keywords: UnitedHealth Group, Hartford , Senior Recovery Resolution Analyst - Remote, Professions , Hartford, Connecticut

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