UnitedHealth Group-posted 9 months ago
$28 - $56/Yr
Full-time • Entry Level
Remote • Minnetonka, MN
Insurance Carriers and Related Activities

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This unique Claims Analyst position offers an exciting opportunity to be a key voice in shaping the future of the joint venture between UHC and Warburg Pincus, an exciting new partnership that will become an independent company. You will have the chance to be responsible for financial reconciliation of claims and supporting recovery efforts. This role ensures accurate billing reversals, processes improvements, and timely resolution of claims-related issues to safeguard financial integrity through effective claims recovery, billing reconciliation, and issue resolution strategies. Join us in this transformative journey and play a pivotal role in building the future of healthcare services with the UHG/Warburg Pincus joint venture.

  • Conduct claim reconciliations and coordinate billing reversals and recoveries
  • Investigate and resolve discrepancies in claims processing and payments
  • Partner with claims, operations, and finance teams to address root causes
  • Track and report on recovery metrics and resolution timelines
  • Support audit and compliance documentation related to claims
  • Perform troubleshooting root cause analysis of system concerns and actively engage in key resources for timely submission of service tickets and/or user acceptance testing with training plans
  • Recognize and analyze trends impacting charges, coding, collection, and accounts receivable
  • Generate data queries, reports, and/or research needed to monitor claim statuses ensuring timely claim submission
  • Collaborate with internal partners (e.g., Sales; Master Data; Credentialing; Eligibility) and/or external stakeholders (e.g. payers; brokers) to resolve billing issues
  • Provide UAT support related to claims and billing function of the business ensuring functionality for production implementation
  • 2+ years of experience in claims processing, revenue cycle, or healthcare finance
  • Proven solid analytical skills and attention to detail
  • Experience with claims systems and financial reconciliation tools
  • Proficiency with Microsoft Office including Microsoft Word (create correspondence and work within templates)
  • Proficiency with Microsoft Excel (data entry, sort / filter, and work within pivot tables)
  • Proficiency with Salesforce
  • Problem Solving: Identify issues and develop solutions
  • Proficiency in collecting and analyzing data
  • Solid communication and collaboration skills
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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