Business Analyst Coordinator

UnitedHealth Group is a leading healthcare organization focused on improving health data and information systems. The Business Analyst Coordinator will play a crucial role in a high-volume call center, providing customer service and support to long-term care providers and members while resolving complex issues.

Responsibilities:

• Provide expertise and customer service support to long-term care providers and members
• Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with external and internal customers
• Identify and resolve operational problems using defined processes, expertise and judgment
• Investigate claim, prior authorization, enrollment and revalidation and/or customer service issues as identified and communicate resolution to customers
• Provide feedback to team members regarding improvement opportunities
• Provide analytic and reporting support to service center and other teams as necessary

Requirements:

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of healthcare customer service experience analyzing and solving customer problems
• 1+ years of medical claims (reviewing/processing) experience
• 1+ years of working in a call center environment or experience managing heavy call volumes
• Knowledge reviewing medical codes (CPT, HCPCS, and/or ICD-10)
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work Monday - Friday, 8:00 am - 5:00 pm EST
• Experience with Medical Prior Authorizations