Remote Claims Analyst – Remote Jobs

Job Name: Remote Claims Analyst
Name of the Company: UnitedHealth Group
Location: San Antonio, TX; US (remote within US)
Salary range: USD 18.80 – USD 36.78 Hourly

Position Description

WellMed (part of Optum and UnitedHealth Group) is seeking a remote Claims Analyst to join their team. The company’s focus is mainly on seniors, and they partner with multiple Medicare Advantage health plans in Texas and Florida. The candidate selected will enjoy a flexible remote work setup from anywhere within the US.

Responsibilities

The claims analyst role entails managing and configuring contract reimbursement methodologies, testing and auditing claims payment accuracy against contact information loaded into claims payment systems, as well as completing assigned claims timely and accurately. The role will also require assisting with email inquiries received on a daily basis, reviewing and researching provider disputes due to contact set up issues, and partnering with other departments to ensure appropriate data is collected and maintained. The candidate is also expected to interpret and configure contract terms and claims coding in a risk-based environment, understand health insurance benefit administration, utilize data to develop, and implement managed care strategies.

Qualifications

The ideal candidate for this role should possess a high school diploma or GED, a minimum of 1-year healthcare claims processing experience and familiarity with medical terminology. The candidate should also have exceptional organizational skills, prioritization, multi-tasking skills, and effective communication skills.
Preferred qualifications include logical reasoning for simple and complex problem-solving, an ability to receive and comprehend instructions, an exceptional ability to organize and prioritize multiple tasks accurately, and good interpersonal skills.

The hourly pay range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington residents is between USD 18.80 to USD 36.78. The final pay is based on several factors, including but not limited to education, work experience, certifications, etc.

In addition to excellent pay, UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution, subject to eligibility requirements. The company encourages all remote employees to follow UnitedHealth Group’s Telecommuter Policy.