Job Description
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 togetherPrimary Responsibilities:Authorizes the appropriate payment or refers claims to investigators for further reviewConducts data entry and claims processing/issuesResponsible for handling issues within turnaround standardsAbility to handle most claim types / cases / issues that are submitted to the team you are supportingAbility handle escalations as neededAbility to work multiple functions and applications in a day as neededCommunicate any changes in trending of inventory, volumes, and quality remediationComplete required individual development courses / training
Responsibilities + Skills
Proficient in verbal and written English skillsAbility to work 40 hours / week during standard business operating hours Monday Friday from 7am 7pm AST (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
Education
Experience
Experience in medical billing or claimsHealthcare experience
