You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. SM

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am – 6:00pm. 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:

• 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 clients, and government entities
• Fundamental Execution –
  • Plan, prioritize, organize, and complete work to meet established production goals required by provider & payer clients, as well as Optum goals, quotas and deadlines in a fast pace and ever-changing environment
  • Provide top quality by researching accounts fully, reviewing and adhering to payer, provider & Optum quality requirements.
• Client facing account management –
  • Represent Optum & Optum’s core values; act as a liaison between provider clients, Optum and payer clients.
  • Communicate and/or meet with the provider client appropriately to ensure Optum is meeting their needs and expectations and build a good rapport with the provider client contacts by establishing professional working relationships to ensure operational efficiency
  • Anticipates client needs and proactively identifies solutions, be accountable for improving business operations
• Inventory Management –
  • Accounts receivable follow up and resolution, ensuring AR is resolved within 30 days. Follow up includes researching why inventory is outstanding with provider and payer clients.
  • Manage multiple different inventory work queues and workflows, including multiple payer and provider client referred inventory, as well as unsolicited inventory
• Reporting & Analysis –
  • Analyze and identify trends and provide reporting as necessary to provider clients, management, and the COE
  • Utilize various reports to manage inventory, follow up as needed & drive client relationships
• Work independently with little direct onsite supervision
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

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)
• Intermediate proficiency with PC and Windows
• Basic proficiency in math and thinking analytically and strategically
• Ability to travel, up to 25% of the time (generally local, but some overnight)
• Ability to work full-time, 40 hours standard, OT if business needs dictate but not regular
• Intermediate level of proficiency with Microsoft Excel required (i.e., sorting, summing, creating bar graphs, formulas)

Preferred Qualifications:

• Bachelor’s Degree (or higher)
• 2+ years of Account Management or Customer Service experience
• 3+ years of experience in claims recovery and resolution or an operations-based environment
• Previous leadership experience
• Healthcare finance experience with a focus in auditing and/or analysis
• Previous experience working in a client facing role and/or working onsite at a client site

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

Soft Skills:

• Strong Communication and Customer Service skills
• Exceptional organizational/time management skills
• Ability to work in a dynamic environment both independently and in a group setting
• Previous work within the community giving back or volunteering time and resources

Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged, and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York City residents is $18.80 - $36.78. 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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