Transaction Analyst – National Remote

The Transaction Analyst position offers an exciting opportunity to be a key voice in shaping the future of the OptumInsight / Warburg Pincus joint venture. 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come makes 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 together.

The role of a Transaction Analyst is to pursue financial savings on behalf of our customer using the legal theories of Coordination of Benefits with Automobile insurance and administering workers compensation and other coverage exclusions. May include initiating telephone calls to members, providers, and other insurance companies to gather coordination of benefits. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.

This position is full-time, Monday – Friday. Employees are required to work during our normal business hours of 8:00am – 4:00pm (with some flexibility). It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be during our normal business hours.

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

 

Primary Responsibilities:

• Ensure compliance with Health Insurance Portability and Accountability Act (HIPAA)
• Review claims platforms, research, and analyze treatment to determine claims relatedness
• Validate contact information and accident-related injuries
• Research and gather appropriate plan documents from multiple sources
• Prepare Subrogation demand packages for submission to insurance carriers 
• Outbound Calls to obtain information from attorneys and insurance companies

This is a challenging role with serious impact. You’ll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It’s a fast-paced environment that takes focus, intensity and resilience.

 

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 OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of healthcare claims experience
• Ability to work Monday – Friday, during our normal business hours of 8:00am – 4:00pm, including the flexibility to work occasional overtime, based on the business need

 

Preferred Qualifications:

• 1+ years of experience working with medical codes (CPT, ICD-10, HCPCS)
• Experience working with subrogation
• Knowledge of Microsoft Office products (Microsoft Excel, Microsoft OneNote, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Microsoft Teams)

 

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The hourly range for this role is $19.86 to $38.85 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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

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