Recovery-Resolution Representative – Frederick, MD more… ▼
| Location: | Prince Frederick, MD |
| Company: | UnitedHealth Group |
| First posted: | February 22, 2015 |
Position Description:
Aspart of its overall function to ensure Medicare/CMS has the most currentinformation regarding plan beneficiaries, the Medicare Revenue Reconciliation(MRR) team is responsible for completing Medicare as Secondary Payer (MSP)investigations and submitting updates to Medicare’s Coordination of BenefitsContractor (COBC). The MSP team is production focused and quality driven andcomprised of an outbound call unit, a submission evaluation team, and a unitthat ensures internal applications have the most current data.
Primary Responsibilities:
- Remainup-to-date on MSP rules and ensure member detail is corrected according toMedicare guidelines
- Quicklyadapts to new concepts and process changes while maintaining achievement ofdaily production targets
- Make40-60 outbound calls daily and handle inbound call backs to complete a minimumof 20 investigations daily
- Evaluatedata and submit updates to Medicare’s COBC (update a minimum of 40 records/day)
- Accuratelymaintain internal systems and applications with up-to-date medical coverageinformation
- Workindependently and maintain a results and quality driven focus hour-over-hourthroughout the work day
- Respondto monitoring, coaching, and various forms of feedback and quality analysisdesigned to ensure the team stays on schedule and meets performance metrics
- Constantlymeets established productivity goals, schedule adherence, and quality standards
- Hoursare 9:30 AM to 6:00 PM EST, Monday – Friday with some weekends
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