OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
Provider Reimbursement Specialist - Columbia, MD; Golden Valley, MN
Primary Responsibilities:
- Develops programs, policies and strategies to ensure that contracted rates and reimbursement policies are applied accurately for company affiliates.
- Analyzes claims, pre and post payment, to ensure contracts and reimbursement policies and procedures are priced accurately.
- Reviews claim disputes to verify correct pricing and analyzes claim inquiry data to determine root cause of errors; recommends system changes, training and process improvements to prevent future errors.
- Works with both internal and external customers to identify and resolve complex problems.
- Assists company affiliates with initial deployment and ongoing support of systems and processes to leverage national network rates and policies.
- Fee schedule and contract template maintenance is also included in this function.
At OptumHealth, you will perform within an innovative culture that's focused on . You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
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