Research Analyst - Claims experience needed

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards. We're seeking a flexible and analytical claims professional to join our Cypress team as a Research Analyst. In this role you would review, research and resolve all PacifiCare claims matters. Here is a chance to enjoy great benefits and excellent advancement potential while demonstrating your claims knowledge. Apply today to make a healthy career change. Primary responsibilities include: Researching medical claims Responding to member and provider inquiries by phone, email or mail Analyzing claims to determine who is responsible for payment Contracting the appropriate parties and ensuring that claims are paid Reviewing contracts and fee schedules to identify errorsRequired qualifications include: Proven analytical skills Experience working with claims Customer service experience MS Office proficiency Strong written and verbal communication skillsPreferred qualifications include: Knowledge of delegated contracts An understanding of HMOs and billing forms Bachelor's degreeUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.keywords: analyst, claims, research analyst, claims, Pacificare claims, insurance