Senior Recovery Resolution Representative

This position is Onsite. Our office is located at 12 Cadillac Drive, Suite 300 Brentwood, TN 37027.Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:55 AM - 4:25 PM. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.      Primary Responsibilities:Take inbound calls from providers andor make outbound calls to providers to discuss and resolve outstanding overpayments (95% of your day can be on phones)Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entitiesFundamental Execution: Plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast pace and ever-changing environmentCommunicate professionally with the provider to ensure PRS is meeting the needs and expectations of the client; build a good rapport with the provider contacts by establishing professional working relationships to ensure timely recoveriesEscalate recovery efforts through many avenues to progress and resolve the situationsAnalyze, identify trends, and provide inventory and or client updates as necessaryMust meet state and federal compliance policies, reimbursement policies, and contract complianceWorks independently while acting as a resource and mentor for others.Perform other duties as assigned     You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 OR GEDMust be 18 years of age OR older1+ years of healthcare customer service experience1+ years of customer service with analyzing and solving customer problems1+ years of claims or collections experienceCall center experienceProficiency with computer and Windows PC applications (ability to create, copy, send and save spreadsheets in Microsoft Excel)Ability to work onsite at 12 Cadillac Drive, Suite 300 Brentwood, TN 37027Ability to work our normal business hours of 7:55 AM - 4:25 PM, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends    Preferred Qualifications:Provider overpayment recovery experience or debt collectionProfessional billing experienceExperience with negotiations and direct client interactionsWork experience within the community giving back or volunteering time and resourcesReside within 30 miles of 12 Cadillac Drive, Suite 300 Brentwood, TN 37027     Soft Skills:Ability to work in a dynamic environment both independently and in a group settingStrong Communication and Customer Service skills     Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 - $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.     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.        UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.   #RPO #RED

Created: 2026-03-05