Unitedhealth Group Summer Internship – Senior Recovery Resolution Analyst In Orchards

Job Description:

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.^SM

Job Responsibilities:

• Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
• Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
• Investigate and pursue recoveries and payables claims and file management
• Providers, and other insurance companies to gather coordination of benefits information
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
• Use pertinent data and facts to identify and solve a range of problems within area of expertise

Job Requirements/Qualifications:

• High school diploma / GED (or higher)
• Experience working with medical claims platforms
• 2+ years of experience with claims auditing and researching claims information
• 1+ years of experience analyzing data and identify cost saving opportunities
• Knowledge of claims processing systems and guidelines/processes
• Intermediate skills with Microsoft Excel (create, edit, sort, filter, pivot tables)
• Experience in healthcare