Optum ยท 1 day ago
Claims Recovery Analyst- Kelsey Seybold Clinic
Pearland, TX
Full-time
Onsite
Entry, Mid Level
$17.98/hr - $32.12/hr
2+ years expOptum is part of one of the nation's leading health care organizations, Kelsey-Seybold Clinic, which is nationally recognized for delivering coordinated and accountable care. The Claims Recovery Analyst will be responsible for researching claims with dual coverage, applying coordination of benefits procedures, and documenting information in the Epic System.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Analyst will apply coordination of benefits procedures to claims with confirmed dual coverage via use of the Epic Systems
Add/modify filing order information in EPIC System as well as documenting COB information in the system. Refund posting via EPIC system
Prepare monthly summary and forward payments received to accounting department
Qualification
Required
High School diploma or GED from an accredited program
2+ years of Managed Care Experience in Claims Administration with KSC as Claims Analyst or Provider Service Representative or 3 years of Claims Payment, Claims Billing, or Coordination of Benefits Experience in another Healthcare environment
Understanding and interpretation of Managed Care claims payment process including electronic claims adjudication, contractual agreements, Financial Obligation Summaries, L.O.A.' s, Medicare/HCFA guidelines, Coordination of Benefit rules, State mandated processes specific to recovery and claims payment requirements. (Senate Bill 418)
Preferred
1+ years of Claims Collections or Recovery experience
Knowledge of Direct Provider Network Product
Self-directed and able to absorb new information quickly. Knowledge of ICD-9, CPT Codes
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase