Remote Medical Claims Administrator

2 weeks ago

Minneapolis, Minnesota, United States Optum Full time

You'll enjoy the flexibility to telecommute* from anywhere within the U.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.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM local time.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Understand how various components in Facets fit together so claims pay correctly
Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements
Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
Research claims issues to determine configuration gaps, update configuration as applicable
verify configuration following source documentation
Work with minimal guidance and supervision
Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance

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.

Must be 18 years of age OR older
~2+ years of experience in working with benefit configuration in Facets database tables
~ Proficiency in Microsoft Word, Microsoft Excel, and Microsoft Outlook
~ Computer proficiency including, but not limited to, ability to learn new computer system applications
~ Experience with building and running SQL queries using tools such as Microsoft Access, Query Builder, OR similar
~ Ability to work any shift between the hours of 8:00 AM - 5:00 PM local time from Monday - Friday

2+ years of health insurer experience with medical plan case installation OR benefit plan building
~2+ years of health insurer experience with handling provider billing / co - payments / co - insurance
~2+ years of health insurer experience with resolving provider claim issues
~ Experience with Medicare medical benefit plans
~ Knowledge of supporting tools from Trizetto and other vendors, such as CMU OR similar applications

Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Accountability - Takes ownership of tasks, performance standard and quality results. Maintains necessary attention to detail to achieve high level performance.
Flexible - Able to work effectively in a changing environment and contribute innovative ideas.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or

Rhode Island Residents Only:
The hourly range for this is $28.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.

In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).


Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

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.

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.

  • Medical Staff Ops Analyst

    2 weeks ago

    Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

    SUMMARY:We are currently seeking a Medical Staff Ops Analyst to join our Medical Administration team. This position is full-time with benefits, 80 hours per pay period, day, Monday - Friday, fully remote.Purpose of this position: This position is responsible for liaising with internal and external stakeholders to lead and support projects and identify...

  • Application Administrator II IT EPIC Hospital Billing Claims Remittance

    2 weeks ago

    Minneapolis, Minnesota, United States North Memorial Health Care Full time

    Application Administrator II IT EPIC Hospital Billing Claims Remittance Robbinsdale, MNPosting Date: Jan Apply now )

  • Subrogation Claims Specialist

    2 weeks ago

    Minneapolis, Minnesota, United States Element Fleet Corporation Full time

    Get started on an exciting career at ElementElement employees make a difference in the lives of others every day. We are re-defining the fleet management industry to be people first, then business - delivering on our promise of a superior client experience. This takes hard work and innovation, and we need more like-minded people on our team.What We NeedWe...

  • Subrogation Claims Specialist

    4 weeks ago

    Minneapolis, Minnesota, United States Element Fleet Corporation Full time

    Get started on an exciting career at ElementElement employees make a difference in the lives of others every day. We are re-defining the fleet management industry to be people first, then business - delivering on our promise of a superior client experience. This takes hard work and innovation, and we need more like-minded people on our team.What We NeedWe...

  • Content Claims Specialist

    2 weeks ago

    Minneapolis, Minnesota, United States Crawford & Company Full time

    Excellence In Everything We TouchPosition SummaryThe role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster's content claims handling operations: Acting/operating as a third party, intermediary between the Insurance Company's property adjusters, and their policyholders with respect to...

  • Content Claims Specialist

    4 weeks ago

    Minneapolis, Minnesota, United States Crawford & Company Full time

    Content Claims Specialist - Field - Level IIRequisition ID Job LocationsUS-MN-Minneapolis | US-MN-Saint Cloud | Rochester | US-WI-Eau ClairePosition TypeRegular Full-TimeCategoryClaimsBusiness UnitCUS_Loss Adjusting USExcellence In Everything We TouchPosition SummaryThe role of Content Claims Specialists is a multi-faceted role, which focuses primarily in...

  • Medical Staff Ops Analyst

    4 weeks ago

    Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

    Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical...

  • Claims Quality Auditor

    2 weeks ago

    Minneapolis, Minnesota, United States Gravie Full time

    Hi, we're Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that...

  • Claims Quality Auditor

    2 weeks ago

    Minneapolis, Minnesota, United States Gravie Full time

    Hi, we're Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way....

  • Estate Claims Specialist

    4 weeks ago

    Minneapolis, Minnesota, United States DCM Services, LLC Full time

    ApplyDescriptionMake your next move your best moveWhy you'll love working at DCM Services:4 weeks of Paid Time off (PTO), monthly bonuses, holiday pay, 401k company match, company paid short-term and long-term disability insurance, and moreTo make sure you are successful you will receive three (3) weeks of onsite training.Monday - Friday flexible schedule,...

  • RCM Representative Sr, Third-Party Claims

    2 weeks ago

    Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

    Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical...

  • RCM Representative Sr, Third-Party Claims

    1 month ago

    Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

    Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical...

  • RCM Representative Senior, Third-Party Claims- HB

    1 month ago

    Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

    Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical...

  • Medical Director Breast Surgeon Remote

    1 week ago

    Minneapolis, Minnesota, United States Optum Full time

    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,...

  • JAMF System Administrator

    2 weeks ago

    Minneapolis, Minnesota, United States Coforge Full time

    Role: JAMF System AdministratorLocation: Minneapolis, MNKey Skills : JAMF, Intune, ITIL, SCCM, Python, Jamf Pro administration, ServiceNowExperience Required: 7+ yearsMode of Hire: Full TimeWe at Coforge are seeking JAMF System Administrator with below mentioned skillset-Strong knowledge of Operating systems – macOS (Big Sur).Practical experience managing...

  • CMDB Administrator

    2 weeks ago

    Minneapolis, Minnesota, United States HealthPartners Full time

    Job Description HealthPartners is currently hiring for a CMDB Administrator. The CMDB Administrator is responsible for the day-to-day administration and management of HealthPartners' Configuration Management Database (CMDB). The CMDB is a central repository of information for all of HealthPartners' IT assets, including hardware, software, applications, and...

  • Senior Contract Administrator

    1 month ago

    Minneapolis, Minnesota, United States University of Minnesota Full time

    Apply for JobJob ID361561LocationTwin CitiesJob FamilyGrants & ContractsFull/Part TimeFull-TimeRegular/TemporaryRegularJob Code9781GCEmployee ClassAcad Prof and AdminAdd to Favorite JobsEmail this Job About the JobJob Code: 9781GC College/Unit: Research Innovation OfficeJob Code Title: G&C Officer 1 - G&C Generalist Department: Technology...

  • Administrative Assistant

    4 weeks ago

    Minneapolis, Minnesota, United States General Mills, Inc Full time

    Administrative Assistant: OVERVIEW: At General Mills, Administrative Services is a strategic business partner, adding value through exceptional administrative support that enables our company to win and our employees to maximize their full potential. We drive winning results for the organization through developing our amazing talent, creating agile...

  • Oracle/Exadata DBA

    1 month ago

    Minneapolis, Minnesota, United States Cognizant Technology Solutions Full time

    Oracle / Exadata DBALocation: Minneapolis, Minnesota (Open to Remote)Qualification:Bachelor's in Science/ Commerce/Engineering or equivalentProven experience in Oracle Database and Oracle Linux Administration is required.Strong understanding of payer and claims processes particularly in Medicare & Medicaid is essential.Ability to troubleshoot complex system...

  • Radiation Oncology Medical Director

    1 month ago

    Minneapolis, Minnesota, United States UnitedHealth Group Full time

    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,...