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UnitedHealth Group Recovery / Resolution Representative Associate - Woburn, MA in Woburn, Massachusetts

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM

The Recovery / Resolution Representative Associate will work with our internal Operations Team to support the audit process. This position coordinates with the Audit Correspondence team and the Scheduling team to perform data entry. You will be matching medical records to the corresponding claims in our internal database and then entering those records into the system making them accessible to our team of auditors for review. You must be willing to perform a repetitive task and have good computer and keyboard skills. Strong attention to detail is a must. This position is a key part of our process and will require building strong and collegial relationships with our internal teams.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at:

Primary Responsibilities:

  • Process incoming mail

  • Retrieve, sort and scan all medical records, appeals and signoffs

  • Download records from fax inboxes, portals, secure emails, copy services and FTPs

  • Match records to the corresponding claim in our internal database, and enter the record into the system for our team of auditors to access and review

  • Learn to utilize ChartPoint, our internal suite of office applications

  • Understand the Lifecyle of a claim as it moves through the business

  • Other administrative duties as assigned by manager

  • Supervision/guidance is required for higher level tasks

  • Prioritizes and organizes own work to meet agreed upon deadlines

  • Works with others as part of a team

  • Consistently meet established productivity, schedule adherence and quality standards

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)

  • Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

  • Proficient in Microsoft Office applications, including Microsoft Word (create / edit documents) and Microsoft Outlook (send / receive emails)

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Previous processing claims experience

  • Experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

  • Proficient in Microsoft Excel (data entry, manipulation of spreadsheets)

Soft Skills:

  • Works independently and able to perform a repetitive task

  • Strong attention to detail

  • Good computer and keyboard skills

  • Strong interpersonal skills, ability to build relationships and work as a part of a team

  • Excellent organizational skills

  • Strong communication abilities, both written and verbal

  • Willingness to laugh and contribute to a collegial work environment

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we’ve taken to ensure employee well-being include:

  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19

  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time

  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices

  • Fully cover the COVID-19 healthcare costs for our employees

You can learn more about all we are doing to fight COVID-19 and support impacted communities at:

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.SM

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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