As the Product Support Analyst, you will work directly with our external and internal customers on technical and clinical issues with Optum Claims Editing Software. This position requires the highest level of professionalism, innovative approach and solutions, as well as the ability to understand and communicate CMS NCCI, Medicare, and Medicaid edits. You will also need to fully understand both Professional and Facility medical claims and how CMS interprets payment and reimbursement procedures.
As we build efficient and repeatable processes our team will deliver industry leading implementations that result in high NPS scores.
The individual in this role will provide front line support for clients after they have completed the implementation of the Claims Editing Software
The successful candidate will have a strong healthcare background and industry knowledge as well as specific clinical coding experience that will allow them to provide consulting on how best to configure our solutions into our customers’ existing business practices and fully optimize to allow for the greatest return on their investment.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Assist clients with support inquiries on the claims editing software.
Participate in weekly calls and follow - up on any specific task assigned
Troubleshoot client issues
Research and resolve customer questions and issues as a result of testing
Intake of client issues through inbound calls and emails.
High School Diploma / GED (or higher)
2+ years of experience / knowledge of the healthcare industry and / or clinical experience
2+ years of experience with claims processing and / or coding
Basic Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook - ability to create, edit, save, and send
Must have or be able to obtain within one year of hire a Certified Professional Coder (CPC) Certification
BA / BS degree in healthcare or business related field
Optum Claims Editing System (CES) end - user experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
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.
Keywords: Product, Support, Analyst, Client Advocate, Optum Claims Editing System