Recovery and Resolutions Clerk

3 weeks ago

Las Vegas, United States UnitedHealth Group Full time $16 - $24

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? 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.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm at our office location at 2720 N Tenaya Way Las Vegas, NV. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours during training will be 8:00am to 5:00pm, Monday - Friday.

Primary Responsibilities:
  • Depends on others for guidance.
  • Work is typically reviewed by others.
  • Process incoming mail including logging checks and assigning work on a daily basis to the Representatives based on incoming mail.
  • Send out questionnaires to members or providers as needed.
  • Other duties as assigned.

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 equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of office experience having utilized a telephone and computer as primary work instruments
  • Proficiency in Microsoft Word (create / edit documents), Microsoft Excel (create / edit spreadsheets), and Microsoft Outlook (email / calendar)
  • Ability to work full-time, Monday - Friday between 8:00am – 5:00pm PST at our office location at 2720 N Tenaya Way, Las Vegas, NV, including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
  • Experience with databases and database searches

Nevada, Residents Only: The hourly range for this role is $16.00 to $23.94 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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).

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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