Job Description

This position supports Revenue Cycle Management Initiatives for local Health Plans as well as general business needs for the region. This Analyst is responsible for working with Quest Health Plan AEs to resolve reimbursement, denials, and other Health Plan Payment Issues. This entails tracking the issues for Finance and pulling accession detail to share with the Health Plan. The Analyst is responsible for creation of reports for AR, denials, write off, as well as other special projects for the Revenue Cycle Management regional team.

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, we will 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 you are looking for a better place to use your passion, your ideas, and your desire to drive change, this is the place to be. It is an opportunity to do your life's best work.(sm)

Working Schedule: This is a full-time work from home position with standard Monday through Friday 40-hour work week with overtime when business need occurs.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

* Consult with health plan to identify and resolve denial and reimbursement issues
* Perform Business Analysis specific to reimbursement and billing opportunities
* Ability to define project objective, scope, write business requirements
* Communicate and validate requirements with stakeholders
* Validate solution meets business needs
* Ability to work through minimal business problems and determine root cause
* Escalate issues to the Manager as appropriate

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' experience in using Microsoft Excel with emphasis on data analysis and creating reports
* 2+ years utilizing Microsoft Office Suite Applications in a professional setting
* 2 + years of experience using virtual meeting applications

Preferred Qualifications:

* Bachelor's degree
* Prior Healthcare Industry experience
* Previous experience in Claims Analysis
* Experience in Project Management and Project Management Life Cycle
* 2 + years' experience evaluating and analyzing data using SQL to report and display results
* 2 + years' experience in using Microsoft Access to create reporting and interactive User Interfaces for large amounts of users

Soft Skills:

* Excellent communication skills
* Excellent attention to detail
* Good organizational skills
* Ability to work independently and as part of a team

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. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado Residents Only: The hourlyrange for Colorado residents is $20.77 to $36.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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.

Job Keywords: Associate Business Analyst, Billing Representative, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, , RPO, work at home, WAH