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Business Operations Specialist (Billing) - West Hills, CA

UnitedHealth Group


Location:
WEST HILLS-California, CA
Date:
08/18/2017
2017-08-182017-09-16
Job Code:
1783388
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Job Details


Business Operations Specialist (Billing) - West Hills, CA(Job Number:729194)
Description

Position Description:
 

Healthcare isn’t just changing. It’s growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities. 

 

Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 

If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.

This Business Operations Specialist position is required to handle increased workload associated with Prior Authorization system setup. The Prior Authorization system setup includes the loading of letters, updating of tables, loading clinical guidelines, and updating automated decision trees. This role is vital since without it we will risk incomplete guidelines, incomplete or incorrect approval and denial letters loaded for each client for each migration resulting in increased cost to client and decreased member satisfaction.

You will be handling claims that have been denied or rejected, research claims, call insurance companies seeking answers on why claims were denied and claim resolution. Strong data manipulation and analysis is key in this role.

Job Bus Opns General Support
Primary Location US-CA-WEST HILLS-California
Other Location 
Organization O360 Quest
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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