Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Bill medical and pharmacy primary insurance claims and resolve issues as needed.
Work medical claim rejects
Follow up on denied medical claims, rebill corrected claims or appeal denials
Assist in identifying billing defects, update payer information
Process primary and / or secondary PBM claims and copay assistance cards, to include filling out Universal claim forms.
Respond to department emails, completing request in the department's SharePoint site.
Complete assigned collection / billing projects as needed
Other duties as assigned
High School Diploma / GED or higher
1 years experience working with Medical Claims Platforms
1 years worth of knowledge of medical claims processes, guidelines, and appeals
Microsoft Excel Proficient - able to create, edit, and save spreadsheets as well as the ability enter / create pivot tables and formulas
1 years experience in the heathcare industry
Ability to work Monday through Friday from 9:00am to 5:30pm with the possibility of overtime either before or after scheduled shift or on weekends / holidays
Optum Insight or ZirMed Experience
Pharmacy Technician License or Medical Coding Certificate
Bachelor's or Associate's degree (or higher)
Knowledge of Pharmacy Claims
Co - Pay Assistance experience
This position may require additional access approvals inclusive of extended background verifications post hire.
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing 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.
Key Words: Claims, billing, coding, healthcare, co - pay, pharmacy technician, medical coding, medical billing, medical claims, PBM, Optum Insight, ZirMed, appeals, rejections, pivot tables
Unitedhealth Group Inc.