Clinical Claim Review LPN - Remote

Function responsible for retrospective medical claim review of inpatient hospital claims and initial triage of facility claims in accordance with Medicare/Medicaid guidelines. Location: Remote within the U.S. (optional). For Minneapolis or Washington, D.C. area hires required to work in office at least four days a week. Primary Responsibilities Set up, document, and triage medical records for claims review. Maintain productivity, schedule adherence, and quality standards while ensuring good attendance. Interpret medical records and billed codes. Process correspondence letters as needed. Prepare reconsideration reviews for the Medical Director. Communicate via online routing system. Required Qualifications Undergraduate degree or equivalent experience. Current unrestricted LPN licensure in applicable state. Proficient with computer and Microsoft Office (Outlook, Excel, Word). Excellent written and verbal communication skills. Ability to work with minimal guidance. Ability to multi‑task and manage change in a production environment. Preferred Qualifications Medical coding experience. Claim experience. Knowledge of platforms such as Cosmos, Facets, NICE, Macess, ORS. Familiarity with applications like ECAA, PEGA, Doc360, iDRS, ORS, PCOMM. Strong attention to detail and quality focus. Rapid learning and cross‑training in multiple platforms. Benefits and Compensation Hourly pay ranges from $20.00 to $36.00 per hour for full‑time employment. In addition to salary, you will receive a comprehensive benefits package, incentive and recognition programs, equity stock purchase plan, and 401(k) contribution (subject to eligibility). Benefits and incentives apply to all eligible employees regardless of starting location or time. All remote employees must comply with UnitedHealth Group's Telecommuter Policy. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, military status, or any other characteristic protected by law. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Crains Cleveland