Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
The Account Coordinator is responsible formonitoring operational activities associated with claims and reviews for an assigned book of accounts. This includes product and process education of clients, soliciting additional claim information from clients, providing relevant updates to clients and internal teams, tasks associated with preparing and validating data for billing, troubleshooting and contributing to continuous process improvement efforts. Success comes through strong, collaborative partnerships internally with Operations, Finance, Information Technology, and Account Management partners as well as developing and maintaining deep client partnerships.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Manages ongoing contract relationships and service delivery to clients for one or more accounts
- Acts as outward-facing, dedicated resource for assigned accounts, typically with direct client contact and large or complex accounts
- Build relationships with employer / group clients (not individual members) and serves as the primary point of contact for overall and day - to - day service delivery
- Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
- Function includes employees who are dedicated on - site service roles
- Contacts clients as appropriate to obtain outstanding data and information
- Troubleshooting and contributing to continuous process improvement efforts
- Responsible for understanding client requirements and must clearly and quickly communicate issues internally and externally
- Researching pertinent information to ensure efficient and timely handling for claim review process
- Responsible for understanding client systems to research claim status and issues
- Understand claim flow and work closely with operations personnel to determine additional information requirements essential to the Forensic Review or Appeal
- Contribute to the development of innovative, practical solutions to solve client and business partner problems
- Prepares, presents and reviews various internal and client reports
- Responsible for working with validation team and billing to resolve issues with EOPs, MTD and claims
- 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
- 2+ years of experience in a client service position
- 1+ years of Itemized Bill Review (IBR) experience
- 1+ years of experience solving moderately complex problems and/or conducting moderately complex analyses and managing problems to solve
- 1+ years of multi-tasking working experience in a limited direction while maintaining attention to detail in a fast-paced environment
- Intermediate level of proficiency in Microsoft Word, Excel, Outlook and Teams (create, edit, format, pivot tables, calendar management)
Preferred Qualifications:
- Experience in healthcare, medical insurance, or billing and coding
Soft Skills:
- High level of commitment, energy, drive, initiative, creativity and enthusiasm
- Basic skills leading teams and working collaboratively
- Knowledge of supported products and system
- Good verbal and written communication, listening skills
- Strong interpersonal and organizational skills
- Strong decision-making skills
- Broad understanding of Itemized Bill Review products and services
- Demonstrated ability to collaborate across multiple organizations to meet goals and objectives
- Acts as a resource for others with less experience
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
Skills Required
- High School Diploma/GED
- 2+ years of experience in a client service position
- 1+ years of Itemized Bill Review (IBR) experience
- 1+ years of experience solving moderately complex problems
- 1+ years of multi-tasking working experience in a fast-paced environment
- Intermediate level of proficiency in Microsoft Word, Excel, Outlook and Teams
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday, and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
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Parental & Family Support — Six weeks of paid parental leave, up to two weeks of paid caregiver leave, Bright Horizons back‑up care, and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
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Wellbeing & Lifestyle Benefits — Company‑paid short‑ and long‑term disability, Calm app membership, tuition reimbursement, commuter and FSA accounts, and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.