Coordination of Benefits Analyst - National Remote

Youll 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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

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 6:00am - 6:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

• All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Primary Responsibilities:

• Verify other insurance coverage primarily through payer portals and clearinghouse portals, but also occasionally leverage automated phone lines, databases, or phone outreach to commercial payers
• Data entry of other insurance coverage findings into internal applications
• Work directly with other departments to enhance and refine assigned inventory to maximize value
• Knowledge and application of Medicare and NAIC coordination guidelines to properly coordinate members
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
• Use pertinent data and facts to identify and solve a range of problems within area of expertise
• Serves as a resource to others
• Data entry into client submission systems

This is a challenging role with serious impact. Youll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. Its a fast paced environment that takes focus, intensity and resilience.

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:

• High School Diploma / GED
• 2+ years of experience with data entry
• 2+ years of experience working in a production environment
• 1+ years of experience working in the health care industry
• 1+ years of experience analyzing and solving customer problems
• Intermediate level of Microsoft Excel
• Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 6:00pm EST
• Must be 18 years of age OR older

Preferred Qualifications:

• 1+ years of experience in an inbound / outbound
• Experience working in the health care industry
• Experience using platforms such as UNET, Pulse, NICE, Facets, Diamond, etc.
• Previous Coordination of Benefits experience

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $23.22 - $45.43 per hour. 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, youll 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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