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Hours Full-time, Part-time
Location Columbus, OH
Columbus, Ohio

About this job


Position Description: 

Welcome to one of the toughest and most
fulfilling ways to help people, including yourself. We offer the latest tools,
most intensive training program in the industry and nearly limitless
opportunities for advancement. Join us and start doing your life's best work.

Are
you looking to be on the forefront of reducing the cost of healthcare
through cost containment and compliance? Do you consider yourself a
critical thinker, problem solver, and process improver? Do you have the
ability to analyze numbers and identify trends while being able to build
lasting relationships? Do you want to work for one of the leading
revolutionary healthcare companies that affect every aspect of the
healthcare system?     
     
Our
Credit Balance 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 also fast paced and
challenging. 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.    
     
This
role handles information about patient services and how those services
are paid by investigating and pursuing recoveries through contact with
various parties. There are 2 primary functions. First, reviewing and
analyzing contract rates on credit balance accounts at the hospital
business office. You will be required to use basic math in all of your
daily activities. As field-based employees who work onsite at our
client’s offices; relationship building and growth is another crucial
function of the position. Acclimating to our client’s environment and
learning about their primary goals and objectives is essential, and
ensures a successful partnership. Responsibilities include regular
communication with client contacts at all levels to follow-up on open
AR, discuss reporting, projects and identifying opportunities for growth
of the business partnership. We offer the latest tools along with the
most intensive training program in the industry and nearly limitless
opportunities for advancement. This position also offers quarterly
incentives based on performance.    
     
 Primary Responsibilities:    
Provide expertise by reviewing, researching, and
resolving all types of accounts in a credit balance to bring final
resolution and root cause analysis for health plans, commercial
customers and government entities   Fundamental Execution: Plan, prioritize, organize and
complete work to meet established production goals, quotas and
deadlines in a fast pace and ever changing environment    Communicate and/or meet with the provider
appropriately to ensure Optum is meeting the needs and expectations of
the provider and build a good rapport with the provider contacts by
establishing professional working relationships to ensure operational
efficiency   Anticipates customer needs and proactively identifies solutions, be accountable for improving business operations   Accounts receivable follow up and resolution   Analyze and identify trends and provide reporting as necessary   Work independently with little direct onsite supervision   Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance  

Requirements


Required Qualifications:    
High School Diploma/GED   Basic proficiency in math and thinking analytically and strategically   
Keyboarding and Windows PC skills with the ability to navigate multiple systems and sitesExperience with MS Excel (i.e. sorting, summing, creating bar graphs, formulas)    Working Hours - business hours - 40 hours standard, OT if business needs dictate but not regular           Ability to travel, 25% of time. Mandatory 2 week
training in Franklin, TN (near Nashville, TN) + 1 week virtual training (from home) + 2 week onsite training
Preferred Qualifications:    
Bachelor’s Degree or higherPrevious experience working in a client facing role and/or working onsite at a client site   3+ years of experience in Claims Recovery and Resolution or an operations based environment   Healthcare Finance experience with a focus in auditing and/or analysis    2+ years of Account Management or Customer Service experience    Previous leadership experience   Previous work within the community giving back or volunteering time and resources 
Soft Skills:    
Ability to work in a dynamic environment both independently and in a group setting   Strong Communication and Customer Service skills  
Physical Requirements and Work Environment:    
Extended periods of sitting at a computer and use of
hands/fingers across keyboard or mouse, speaking, listening using a
headset.   Business office environment with moderate noise level due to Representatives talking, computers, printers, and floor activity 


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:
claims, medical claims, healthcare claims, claims processing, claims
processor; office, UnitedHealth Group, UnitedHealthcare,  training
class, customer service representative, customer service, CSR, Data
Entry, adjustments, phone support