Business Analyst - Remote In Norristown, PA

Unitedhealth Group York Haven , PA 17370

Posted 3 months ago

You find yourself loving the thrill of diving into challenging analysis. At Optum, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health care. Does the challenge intrigue you?

As a key member of the Analyst team, you will be part of Optum's mission of helping people live healthier lives. As a Business Analyst, you will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the health care system through the analysis and interpretation of data, and presenting recommendations for business solutions. Join us! There's never been a better time to do your life's best work.

This Business Analyst position is required to provide support to help meet SLA's for our Customer. Positions in this function include those responsible for monitoring certain metrics and performing analysis in order to provide insight and root cause corrections of issues in order to help streamline billing processes, with a focus on managing A/R, reducing denials, reducing billing defects, mitigating write-offs, and effectively communicating, tracking, and documenting findings.

This role will require a candidate to be technically savvy with regards to MS Excel, MS Word, and MS Access.

You will leverage your skills and have the ability to:

  • Multi-task and work independently and as part of a team.

  • Demonstrate excellent communication, organization and problem solving

  • Adapt to change in a fast-paced environment

  • Join a cross functional focused team with many opportunities for cross-training and skill/career development

If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.

You'll enjoy the flexibility to telecommute* from the Norristown, PA area as you take on some tough challenges.

Primary Responsibilities:

  • Gather and document business requirements

  • Analyze and interpret business information to identify trends, patterns and opportunities for the business and clients

  • Develop and implement effective strategic business solutions through research and analysis of data and business processes planning

  • Support short and long term operational/strategic business activities through analysis

  • Develop recommended business solutions through research and analysis of data and business process and implement when appropriate

  • Collaborates with multiple Customers and Payers to help streamline processes and develop automation efficiencies

  • Communicate analysis and interpretation to appropriate audience

  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products, processes and technologies

  • Organizes and prioritizes day to day activities in order to focus on specific CPI's and KPI's so that SLA's can be met

  • Coordinates and leads conference calls with Customers, Payers, IT, and other Business Associates, in order to articulate issues, findings, and solutions

  • Analyzes and applies denials to third party carriers in all media types.

  • Assists with developing automation and reporting processes

  • Facilities initiatives to bring in incremental cash

  • Partners across the organization and with our Customers to help drive issue resolution

  • Supports Customers in multiple functional areas, such as Third Party denials and Remittance Application/Cash Posting, while managing a large portfolio of processes for these areas

  • Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.

  • Focus on accounts receivables > 90 days, mitigating bad debt write-offs, and third party denial rate

  • Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.

  • Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.

  • Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.

  • Works on various other projects as needed.

  • Complies with departmental Business Rules and Standard Operating Procedures

  • This position is full-time (40 hours/week) with our site operating from Monday - Friday. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays.

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 equivalent work experience.

  • Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant message, video conferencing.

  • Strong keyboard and navigation skills and ability to learn new computer programs

  • 2+ years of experience in the following areas:

  • Business including analysis

  • Gathering and documenting requirements from the client/business

  • Analysis of business process and workflow, providing an evaluation and process improvement recommendations

  • Project methodology (requirements, design, development, test and implementation)

  • Intermediate level of proficiency with Excel and Access

  • Ability to travel up to 5% within US

  • Proficiency in MS Excel to include basic VLOOKUPs, Pivot Tables and basic formulas

  • 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

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Bachelor's degree in Business, Finance, Health Administration, related field

  • Knowledge of Healthcare billing data and denials preferred

  • Proficiency with SQL and Powerpoint a plus

  • Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally

  • Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data

  • 1+ years' experience in A/R, Billing, and Customer Service, Insurance, or Healthcare

  • Proficient with MS Word

  • Experience with Visual Basic

  • Experience executing macros and scripts

  • Some College level classes/coursework

  • Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills

  • Medical terminology acumen and experience

Preferred Skills:

  • High degree of accuracy, and attention to detail

  • Strong organizational skills.

  • Ability to quickly adapt to a changing environment

  • Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication.

  • Excellent problem solving and decision-making skills.

  • Ability to work in a fast-paced environment and meet deadlines.

This position is primarily telecommute, however, you must be available to go into the office as needed for training, meetings, etc., depending on business needs. Preferred telecommute location that is within 1-1.5 hours travel time from an office location.

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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: billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support, Norristown, PA, Pennsylvania, work from home, work at home, WFH, WAH, #RPO

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Business Analyst - Remote In Norristown, PA

Unitedhealth Group