Requirements:
- High School diploma/GED required
- 5+ years’ healthcare experience in a claims processing area or in a provider billing OR 2+ years’ experience and a Bachelor’s degree.
- Work Shift - Monday thru Friday 8 AM to 5 PM
- Intermediate Word and Excel required (Word – creating documents; Excel – creating and generating new reports. Filtering, sorting and graphing)
Assets:
- 3+ years Claims auditing/research experience (Should have claims expertise and knowledge to a degree that they can recognize inconsistency and data integrity issues)
- Previous contracting experience in a role such as Provider Contracting, Provider Service, or Claims QA
- Experience with Prior Authorization or Medical Reviews
OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the U.S., one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
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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