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 6 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.
It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills. And it just so happens that there’s never been a better time to get on the team at UnitedHealth Group. We’ve built one of the world’s most effective and respected claims processing teams. And that’s where you come in. We’ll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 6 leader.
This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will support timely processing of the member's claim.
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards
Demonstrates a depth and breadth of knowledge/skills in own area and is often able to apply this outside of own function.
Plans, prioritizes, organizes and completes work to meet established objectives.
Acts as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function.
Collaborate with internal business partners to resolve claims errors/issues (e.g., Subject Matter Experts, Network Management, IT/systems staff, Compliance, Vendor management teams, contract teams)
- High School Diploma / GED (or higher)
- 2+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
- Ability to create, edit, copy, send and save documents, correspondence, and spreadsheets in MS Word, Excel, Access and Outlook
- Ability to work between 7:00AM - 3:30 pm CST
- 2+ years of experience processing medical, dental, prescription or mental health claims
- Must possess excellent communication skills both oral and written
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, Claims, healthcare, customer service,