Step into a high-impact claims role where accuracy, speed and clinical detail shape the member experience.
About Optum / UnitedHealth Group
Optum is a global health organization and part of UnitedHealth Group. Together, we combine clinical expertise, technology and data to help millions of people live healthier lives. This team handles critical operations behind the scenes, ensuring claims are processed accurately, medical records are organized correctly, and members receive timely decisions. You’ll join a supportive, growth-focused environment with industry-leading benefits and career pathways.
Schedule
- Full-time, Monday through Friday
- 8:00am – 5:00pm MST
- Occasional overtime based on business needs
- Four weeks of on-the-job training aligned to your schedule
- Remote work from anywhere in the U.S.
- Must follow UnitedHealth Group’s Telecommuter Policy
Responsibilities
- Review, research, investigate and process medical claims with accuracy
- Intake and triage initial claim documents in a high-volume environment
- Prepare payment calculations and assemble claim packets for Nurse review
- Apply Nurse findings to claims and prepare provider communications
- Sort, organize and process medical records and referral materials
- Identify trends and create reports as needed
- Navigate multiple computer systems to gather critical information
- Meet productivity, quality and schedule adherence standards
- Maintain HIPAA confidentiality at all times
Requirements
- High School Diploma, GED, or equivalent experience
- Must be 18 or older
- 1+ year of experience in an office, administrative, customer service, or clerical role using computers and phones as primary tools
- Proficiency with Windows PC applications and ability to learn new systems
- Experience with Microsoft Word (correspondence), Outlook (email/calendar), and intermediate Excel (sorting, filtering, formulas, tables)
- Ability to work Monday–Friday, 8:00am–5:00pm MST
Preferred Qualifications
- 1+ years processing medical, dental, mental health, or prescription claims
- Prior healthcare insurance claims or billing/collections experience
- Familiarity with UB04 forms
- Strong understanding of HIPAA privacy standards
Telecommuting Requirements
- Secure handling of all sensitive documentation
- A dedicated, private workspace separated from living areas
- High-speed internet approved by UnitedHealth Group
Soft Skills
- Comfortable working in a fast-paced, high-volume environment
- Strong attention to detail
- Ability to adapt to change
- Strong analytical thinking
- Able to work independently and collaborate as needed
Benefits
- Hourly pay range: $17.74 – $31.63
- Comprehensive medical, dental, and vision plans
- Incentive and recognition programs
- 401(k) with company contributions
- Employee stock purchase program
- Paid training and internal career development
Support claim accuracy, clinical alignment, and operational excellence while working remotely from anywhere in the U.S.
Happy Hunting,
~Two Chicks…