Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance. Primary Responsibilities: Review, analyze, investigate and find resolutions in discrepancies between CMS and health plan data. Complete a minimum of 20 investigations daily (approx. 40 - 60 outbound calls) Maintain professional interactions, both internally and externally Adhere to Protected Health Information (PHI) policies and practices Accurately evaluate data from multiple sources and update internal systems and applications with the results of the investigation using up - to - date process documents Respond to monitoring, coaching, and various forms of feedback and quality analysis to meet or exceed performance metrics Work with a sense of urgency to complete highest priority records first. Reps should ensure they understand what the priorities areRequired Qualifications: High school diploma / GED (or higher)2+ years of Call Center / Customer Service experience Experience working in a production environment 3+ years intermediate proficiency with telephone and Windows PC applications 3+ years of experience with Microsoft Office products: includes the ability to learn new and complex computer system applications3+ years of experience with Microsoft Word (ability to create, edit, copy, send and save documents)3+ years of experience with Microsoft Excel (ability to create, edit, copy, send and save spreadsheets)Coding Certification Preferred Qualifications: Associate's or Bachelor's degree (or higher)Experience with MSP insurance coordination rules Soft Skills: Ability to learn multiple work - types as well as learn and apply multiple levels of actions needed within each work - type Ability to learn quickly and motivated to meet daily production standards with excellent accuracy Demonstrate strong attention to detail Strong verbal, listening and written communication skills Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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. Keywords: Optum, Healthcare, Outreach, Recovery, Resolutions, Telephonic, Customer Service