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 together.

Positions in this function are responsible for investigating, recovering, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

This position is full - time, Monday - Friday. Employees are required to work our normal business hours of 7:30 AM - 5:00 PM EST (Eastern Standard Time zone) including the flexibility to work occasional overtime business need. Our office is located at 9390 Bunton Parkway, Louisville, KY, 40220.

Primary Responsibilities:

• Open, sort, date stamp, count, scan, and document in case management system the receipt of file correspondence, including revenue checks. Distribute correspondence to staff accordingly
• Assist staff and / or the management team with case investigation, research or development as needed
• File Maintenance / Archiving
• Other Administrative duties as assigned by manager
• Moderate work experience within own function
• Some work is completed without established procedures
• Basic tasks are completed without review by others
• Supervision / guidance is required for higher level tasks

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 higher)
• Ability to work any full - time (40 hours / week) 8-hour shift between the hours of 7:30 AM - 5:00 PM EST (Eastern Standard Time zone) from Monday - Friday including the flexibility to work occasional overtime business need

Preferred Qualifications:

• 1+ years of experience within an operations support role (i.e., previous administrative background involved with performing administrative duties on a day - to - day basis)

Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged, and high-performing teams to help solve important challenges.

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 .

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