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Post Pay Non-Clinical Intake Analyst - Eden Prairie, MN - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Eden Prairie, MN Eden Prairie, Minnesota |
About this job
Flexible?
Friendly? Fast on your feet? That's a great start. Accurate? Accountable?
Self-Directed? These traits can take you places. Our claims operations are the
focal point of handling information about services patients receive and the way
those services get paid. It's complex, detailed work. It's fast paced
challenge. It's a job that calls on you to be thoughtful, resourceful,
team-driven and customer-focused. To put it mildly, there is never a dull
moment.
The
Post Pay Non-Clinical Intake Analyst will be receiving and reviewing cases to
determine if medical records need to be requested for further review. They will also be responsible for creating
and preparing medical records requests and conducting provider follow up to
receive the records.
Primary
Responsibilities:
- Analyze large spreadsheet of data
- Determine appropriate list of claims/patients that
require medical records for review - Create medical records request letters
- Receive and document medical records within case
tracking system - Additional follow-up with Providers to obtain all
records requested - Prepare case to move to Investigations teams
- Ensure adherence to federal compliance policies,
contract compliance - Collaboration with Clinical Investigator, Legal and
Compliance for case review
Requirements
Requirements:
- High School Diploma/GED
- 2+ years work experience in the healthcare industry
- Intermediate level of proficiency with Microsoft Excel
- Experience working in a production environment
- Strong quantitative, problem-solving, and computer
skills - Excellent oral and written communication skills
Assets:
- Advanced knowledge and experience working on various
approaches to health care fraud preferred - Medicare/Medicaid program knowledge preferred
- SIU (Special Investigation Unit) work experience
preferred - Knowledge of the following Claims platforms:
COSMOS; CPW; CSP; Diamond; Facets; NICE preferred - 2+ years experience with health care claims
Physical
Requirements and Work Environment:
- Frequent speaking, listening using a headset, sitting,
use of hands/fingers across keyboard or mouse, handling other objects,
long periods working at a computer - Service center environment with moderate noise level
due to Representatives talking, computers, printers, and floor activity
- Strong quantitative, problem-solving, and computer skills
- Excellent oral 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.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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