Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone.
LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well – being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on – location services, patient – specific in – clinic appointments, telehealth assessments, or any combination based on customer need. LHI’s customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life’s best work.SM
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Maintain an ongoing responsibility for assigned claims inquiries which entails assessment, education and coordination for members / health care providers throughout the United States via telephone while keeping a detailed record within the internal database. Establish and maintain positive relationships with members, providers and our claims contractors
- Completion of system generated tasks, including documenting all results as required
- Perform data entry of VACCN Dental claims into the claims processing system within defined performance measurement guidelines.
- Point of contact for internal departments to answer questions relative to member claims
- Work with the leadership team to resolve issues as needed
- Ability to communicate complex program criteria into easily understood summaries in both oral and written communication
- Validation of claim coverage in relation to program guidelines
- Compete activities and reporting as required by the fraud, waste and abuse plan
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)
- Working knowledge of health insurance claims OR patient financial services OR Revenue Cycle experience (similar experience may be considered)
- Experience with claims processing or data entry
- Ability to work Monday-Friday any of our 8-hour shift schedules during our normal business hours of 8:00am – 4:30pm CST. It may be necessary, given the business need, to work occasional overtime
- Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $15.00 to $25.19. The salary range for Connecticut / Nevada residents is $15.77 to $27.79. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives
Additional Job Detail Information
Requisition Number
2042645
Business Segment
Optum Care Solutions
Employee Status
Regular
Job Level
Individual Contributor
Travel
No
Additional Locations
- Phoenix, AZ, US
- Hartford, CT, US
- Tampa, FL, US
- Minneapolis, MN, US
- La Crosse, WI, US
Overtime Status
Non-exempt
Schedule
Full-time
Shift
Day Job
Telecommuter Position
Yes