Are you looking for a chance to get your foot in the door with a great company? Youve found it here. Already one of the worlds leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, youre not just working. Youre making great things happen for the people who rely on us for health care across the United States. Youre part of an elite team thats equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.

Who are we? Optum360. Our Division within Optum360 partners with Quest Diagnostics to combine our unique expertise. As part of the growing family of UnitedHealth Group, well leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If youre looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. Its an opportunity to do your lifes best work.

This Business Operations Specialist position is required to handle billing automation activities as well as producing standard monthly reporting. Positions in this function include those responsible for running and executing all automation tools and databases which are built to help streamline billing processes. Positions in this function may also be responsible for helping centralize automation functions, documenting job aids around the execution of those functions, and performing quality control around those automation tools. 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.

Primary Responsibilities:

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• Collaborates with multiple Customers to help streamline processes and develop automation efficiencies
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• Works with Developers to create new tools, databases, scripting, macros, reports, etc.
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• Assists with developing automation and reporting processes, including testing and providing feedback in order to launch a process
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• Organizes and prioritizes day to day activities in order to meet all automation and reporting deliverables in a timely manner
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• Performs quality control and analysis on automation and reporting activities to ensure accuracy
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• Develops job aids and process documentation for newly developed processes related to automation and reporting
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• Coordinates and leads conference calls with Customers and Developers for clarification and streamlining automation processes and reporting activities
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• Troubleshoots issues that may arise with automation and reporting tools
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• Triaging ad hoc requests from Customers related to automation and reporting
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• Analyzes and applies denials to third party carriers in all media types.
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• 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
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• Complies with departmental Business Rules and Standard Operating Procedures.
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• Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
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• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
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• Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
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• Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
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• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
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• Works on various other projects as needed.
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• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
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• This position is full-time (40 hours/week) Monday Friday. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays.
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Youll 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:

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• High School Diploma/GED or equivalent work experience
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• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant message, video conferencing
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• Strong keyboard and navigation skills and ability to learn new computer programs
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• Proficiency in MS Excel to include basic VLOOKUPs, Pivot Tables and basic formulas
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• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
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• Ability to keep all company sensitive documents secure (if applicable)
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• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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Preferred Qualifications:

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• 1+ year of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare
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• Familiarity with MS Access
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• Basic familiarity with SQL programming
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• Experience with Visual Basic
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• Experience executing macros and scripts
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• Some College level classes/coursework
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• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills
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• Medical terminology acumen and experience
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Preferred Skills:

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• High degree of accuracy, and attention to detail
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• Strong organizational skills
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• Ability to quickly adapt to a changing environment
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• Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication
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• Excellent problem solving and decision-making skills
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• Ability to work in a fast-paced environment and meet deadlines
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This position is primarily remote, 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.

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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment

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