Optum · 9 hours ago
Senior Recovery Resolution Analyst
United States
Full-time
Remote
Mid, Senior Level
$28.94/hr - $51.63/hr
1+ years expOptum is dedicated to improving the flow of health data and information to create a more connected system. The Senior Recovery Resolution Analyst will research issues to determine the feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Perform clinical review of professional claims vs. medical records to determine if the claim is supported or unsupported
Maintain standards for productivity and accuracy
Provide clear and concise clinical logic to the providers when necessary
Attend and provide feedback during monthly meetings with assigned internal customer department
Provide continuous feedback on how to improve the department relationships with internal team members and departments
Keep up required Coding Certificate
Complete compliance hours as required by the department
Qualification
Required
High School Diploma / GED
Certified Coding Specialist (CCS), OR Certified Professional Coder (CPC)
Must be 18 years of age OR older
Working knowledge of medical terminology and claim coding
Knowledge of claims processing systems and guidelines/processes
Experience with Microsoft Excel (create, edit, sort, filter)
Ability to work full-time (40hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime
Preferred
1+ years of Medical record coding experience with experience in Evaluation and Management Services in the professional setting
Knowledge of Medicaid/Medicare Reimbursement methodologies
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