Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

The Business Solutions Analyst is responsible for Legacy System utility set-up and maintenance, user training and support, claims/ERA processing issues related to carriers and/or Relay Health processes. This role will also work with partners to identify, evaluate, and develop system procedures which are cost effective and meet business requirements. Function is responsible for testing/performing QA activities and providing details, recommendations and direction to Legacy Programmers related to any issues or problems detected. May plan and execute unit integration and acceptance testing and will work with Programming to update specifications for systems to meet specific needs. Work assignments are moderately complex in nature where system knowledge is required in resolving problems and making routine updates and recommendations to mitigate. May interact with functional peer groups at management levels and/or outside customers.

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

Primary Responsibilities:

• Performs moderately complex system research in troubleshooting and resolving issues reported by Operations and exercises judgment within defined procedures and practices; combined with system knowledge to determine appropriate action
• Clarifies system set-up requirements and protocol and performs moderately complex utility entry and maintenance, as well as updates claims and billing processing codes and data integrity check/review
• Detailed analysis of new client, billing data and files to identify potential problems or issues
• Monitors claims filed for internal customer to determine accuracy of content and claims acceptance
• Tests and performs QA activities on moderately complex system settings/changes
• Performs moderately complex claims/ERA processing issue research and resolution on user technical support tickets
• Completes moderately complex ad hoc requests as needed for clients/operations or troubleshooting
• Conducts moderately complex system support and training modules
• Other duties as assigned

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) OR 1+ year of experience in a medical billing office
• Ability to work Monday - Friday, 8:00 am - 4:30 pm EST with some flexibility

Preferred Qualifications:

• Working knowledge in analysis and translating specification
• Working knowledge of 837 and 837 transaction formats
• Billing and/or analytical support experience within a medical billing office
• Familiarity with EDI 835 & 837 transaction sets (era and claim)
• Familiarity with data files formats such as .txt or .csv
• Ability to work with large amounts of data, including checks for integrity, summation

Soft Skills:

• Proven solid analytical thinking, excellent organizational skills and detail oriented
• Ability to multitask and work through complex issues in a fast-paced environment
• Demonstrated excellent communication (both written and oral) with solid personal computer literacy, including working knowledge of relevant software packages such as Microsoft Office (Excel, Access, PowerPoint and Word)

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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Connecticut, Nevada, New York, Washington or Rhode Island Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $16.00 to $27.31. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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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