POSITION DESCRIPTION Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UNITEDHEALTH GROUP is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: OPTUM - a growing part of our family of companies that make UNITEDHEALTH GROUP a Fortune 6 leader. OPTUM helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance. The role of a PRE - PAYMENT ANALYST is to pursue financial savings on behalf of our customer using the legal theories of Coordination of Benefits with Automobile insurance and administering workers compensation and other coverage exclusions. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. PRIMARY RESPONSIBILITIES:

• Investigate, coordinate, and resolve all types of claims as well as coordinating and resolution for health plans, commercial customers, and government entities
• Work independently
• Initiate phone calls to members, providers, and other insurance companies to gather coordination of benefits information
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
• Perform 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)
• Claims Management experience in the healthcare industry
• Experience with Microsoft Office; Microsoft Word (create new and edit documents), Microsoft Excel (data entry, sort / filter), Microsoft Outlook (create emails and calendar meetings)
• Ability to work 8 hours shift between the hours of 8am - 4:30pm Monday - Friday

PREFERRED QUALIFICATIONS:

• Knowledge of Healthcare coordination and subrogation process
• UNET / TOPS, Facets, ISET claims Platforms experience
• In depth knowledge of SubroNow platform.
• Experience with Microsoft PowerPoint (create new and edit presentations)

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT:

• Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make the health system 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: claims, investigation, resolution, pre - payment, medical insurance, healthcare, MedPay, Pip Coverage, subrogation Job Details

• REQUISITION NUMBER 856766
• JOB TITLE Injury Coverage Coordination Pre - Payment Analyst - Green Bay, WI
• JOB FAMILY Claims
• BUSINESS SEGMENT Optum Operations

Job Location Information

• Green Bay, WI United States North America

Additional Job Detail Information

• EMPLOYEE STATUS Regular
• SCHEDULE Full-time
• JOB LEVEL Individual Contributor
• SHIFT Day Job
• TRAVEL No
• TELECOMMUTER POSITION No
• OVERTIME STATUS Non-exempt

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.