Requisition number: 2366206
Job category: Sales Support
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Account Coordinator is responsible for monitoring operational activities associated with claims and reviews for an assigned book of accounts. This includes product and process education of clients, soliciting additional claim information from clients, providing relevant updates to clients and internal teams, tasks associated with preparing and validating data for billing, troubleshooting and contributing to continuous process improvement efforts. Success comes through strong, collaborative partnerships internally with Operations, Finance, Information Technology, and Account Management partners as well as developing and maintaining deep client partnerships.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Manages ongoing contract relationships and service delivery to clients for one or more accounts
Acts as outward-facing, dedicated resource for assigned accounts, typically with direct client contact and large or complex accounts
Build relationships with employer / group clients (not individual members) and serves as the primary point of contact for overall and day - to - day service delivery
Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
Function includes employees who are dedicated on - site service roles
Contacts clients as appropriate to obtain outstanding data and information
Troubleshooting and contributing to continuous process improvement efforts
Responsible for understanding client requirements and must clearly and quickly communicate issues internally and externally
Researching pertinent information to ensure efficient and timely handling for claim review process
Responsible for understanding client systems to research claim status and issues
Understand claim flow and work closely with operations personnel to determine additional information requirements essential to the Forensic Review or Appeal
Contribute to the development of innovative, practical solutions to solve client and business partner problems
Prepares, presents and reviews various internal and client reports
Responsible for working with validation team and billing to resolve issues with EOPs, MTD and claims
Other duties as assigned
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
2+ years of experience in a client service position
1+ years of Itemized Bill Review (IBR) experience
1+ years of experience solving moderately complex problems and/or conducting moderately complex analyses and managing problems to solve
1+ years of multi-tasking working experience in a limited direction while maintaining attention to detail in a fast-paced environment
Intermediate level of proficiency in Microsoft Word, Excel, Outlook and Teams (create, edit, format, pivot tables, calendar management)
Preferred Qualifications:
Experience in healthcare, medical insurance, or billing and coding
Soft Skills:
High level of commitment, energy, drive, initiative, creativity and enthusiasm
Basic skills leading teams and working collaboratively
Knowledge of supported products and system
Good verbal and written communication, listening skills
Strong interpersonal and organizational skills
Strong decision-making skills
Broad understanding of Itemized Bill Review products and services
Demonstrated ability to collaborate across multiple organizations to meet goals and objectives
Acts as a resource for others with less experience
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
RPO #GREEN
