Healthcare Claims Examiner

hace 1 día

San Juan, San Juan, Puerto Rico Optum A tiempo completo

Welcome to Optum

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We're a global healthcare company delivering care and technology solutions to improve health outcomes. At Optum, we believe everyone deserves access to quality healthcare, regardless of background or socioeconomic status.

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Job Description: Recovery Resolutions Analyst RN/Coder

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This role involves investigating disputed claims, analyzing medical records, and making complex payment decisions. You'll work closely with healthcare providers, using your analytical skills to identify areas of improvement and provide recommendations for resolution.

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Key Skills and Qualifications

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  • ">
  • Valid RN license or certified coder credentials">
  • At least one year of experience in a production-driven environment with quality audit standards">
  • Proficiency in Microsoft Office Suite and ability to navigate multiple claims applications">
  • Excellent analytical and communication skills">
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Career Growth and Development

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We offer comprehensive benefits and opportunities for career advancement. Our commitment to diversity and inclusion fosters a culture where everyone feels valued and empowered to contribute their unique perspectives.

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