Dental Recovery & Resolution | , |

Dental Claims Investigator This position is national remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm EST. It may be necessary, given the business need, to work occasional overtime and / or weekend coverage. We offer weeks of on-the-job training. The hours of training will be aligned with your schedule. Primary Responsibilities:

• Investigate, recover, and resolve dental claims issues, including handling and processing tax levies
• Initiate and conduct calls with providers to obtain information related to returned checks and payment discrepancies
• Investigate, manage, and pursue recoveries and payables related to subrogation claims, including file management
• Process claim recoveries accurately and in accordance with established procedures
• Ensure compliance with state and federal regulations, reimbursement guidelines, and contractual obligations
• Serve as the dedicated point of contact for Finance teams regarding dental claims and recovery matters
• Prepare and complete required financial reporting, including return checks, tax levies, and related activities
• Act as the Subject Matter Expert (SME) for all finance-related inquiries from the claims processing team

This is a challenging role with serious impact. You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast paced environment that takes focus, intensity and resilience. 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 equivalent work experience
• Must be 18 years of age OR older
• 2+ years of claims OR collections experience
• 2+ years of experience of VACCN Dental Claims processing
• 1+ years of experience analyzing and solving customer problems
• Ability to work full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm EST. It may be necessary, given the business need, to work occasional overtime and / or weekend coverage.

Preferred Qualifications:

• Experience working in the dental health care industry
• Experience working with claims and / or recovery
• Experience using claims platforms such as MedNet, Facets, and / or OnBase
• Intermediate level of Microsoft Excel
• Knowledge of dental check processing workflows
• Customer service background within dental claims

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• All employees working remotely 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 - $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. Apply tot his job Apply To this Job