Claims Analyst

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together .

This unique Claims Analyst position offers an exciting opportunity to be a key voice in shaping the future of the joint venture between UHC and Warburg Pincus, an exciting new partnership that will become an independent company.

You will have the chance to be responsible for financial reconciliation of claims and supporting recovery efforts. This role ensures accurate billing reversals, processes improvements, and timely resolution of claims-related issues to safeguard financial integrity through effective claims recovery, billing reconciliation, and issue resolution strategies.

Join us in this transformative journey and play a pivotal role in building the future of healthcare services with the UHG/Warburg Pincus joint venture.

Primary Responsibilities

• Conduct claim reconciliations and coordinate billing reversals and recoveries
• Investigate and resolve discrepancies in claims processing and payments
• Partner with claims, operations, and finance teams to address root causes
• Track and report on recovery metrics and resolution timelines
• Support audit and compliance documentation related to claims
• Perform troubleshooting root cause analysis of system concerns and actively engage in key resources for timely submission of service tickets and/or user acceptance testing with training plans
• Recognize and analyze trends impacting charges, coding, collection, and accounts receivable
• Generate data queries, reports, and/or research needed to monitor claim statuses ensuring timely claim submission
• Collaborate with internal partners (e.g., Sales; Master Data; Credentialing; Eligibility) and/or external stakeholders (e.g. payers; brokers) to resolve billing issues
• Provide UAT support related to claims and billing function of the business ensuring functionality for production implementation
  
  

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

• 2+ years of experience in claims processing, revenue cycle, or healthcare finance
• Proven solid analytical skills and attention to detail
• Experience with claims systems and financial reconciliation tools
• Proficiency with Microsoft Office including Microsoft Word (create correspondence and work within templates)
• Proficiency with Microsoft Excel (data entry, sort / filter, and work within pivot tables)
  
  

Preferred Qualifications

• Proficiency with Salesforce
• Problem Solving: Identify issues and develop solutions
• Proficiency is collecting and analyzing data
• Solid communication and collaboration skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.