Job details
Job type full-time
Full job description
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Be part of our next training class and begin your new careerApply today!
You dream of a great career with a great company - where you can make an impact and help peopleWe can offer you just thisAnd with the incredible growth of our business, it’s a dream that definitely can come true when you join us as an associate claims representativeAlready one of the world’s leading health care companies, unitedhealth group is tirelessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier livesWhether you have prior experience or not, we’ll provide extensive training and a highly supportive environment for all of our claims team membersThis is your opportunity to make a difference, grow your career and do your life’s best workSm
As an associate claims representative , you’ll be responsible for analyzing complex healthcare claims that require research to determine action steps and mathematical calculations necessary to produce an accurate paymentThe claims position requires a high level of quality which is to be maintained while achieving a productivity goalYou’ll put your skills and talents to work as you review, research, and process medical claimsIt`s complex, detailed workIt`s a fast-paced challengeIt`s a job that calls on you to be thoughtful, resourceful, team-driven and customer-focusedTo put it mildly, there is never a dull moment.
This position is full-time (40 hours/week) monday - fridayEmployees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (9:00am - 5:00pm)It may be necessary, given the business need, to work occasional overtime.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
Review, research, solve and process assigned workThis would include navigating multiple computer systems and platforms (e.gVerify pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.gClaims processing policies and procedures, grievance procedures, state mandates, cms/medicare guidelines, benefit plan documents/ certificates tool)
Independently complete on a daily basis all documentation and communicate the status of claims as needed adhering to all reporting requirements
Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.gOn-line training classes, coaches/mentors)
Meet and maintain the performance goals established for the position in the areas of quality, production and attendance
Consistent attendance with ability to meet work schedule including the required training period
Successful completion of the unitedhealth group 12 to 14-week new hire training program which is 60% instructor lead and 40% self-paced learning (requires ability to read complex information and demonstrate proficiency through testing and practical application)
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required qualifications:
High school diploma / ged (or higher) or 10+ years of equivalent working experience
Experience with computer and windows pc applications, which includes the ability to learn new and complex computer system applications (including comfort using macros efficiently)
Preferred qualifications:
1+ years experience in a physician’s office or appointment scheduling position
Experience in customer service (both verbal and written communication medias)
Jones act or worker’s compensation experience
Soft skill:
Experience working with multiple products and multiple levels of benefits within each product
Telecommuting requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a unitedhealth group approved high-speed internet connection or leverage an existing high-speed internet service
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Military & veterans find your next mission: we know your background and experience is different and we like thatUnitedhealth group values the skills, experience and dedication that serving in the military demandsIn fact, many of the values defined in the service mirror what the unitedhealth group culture holds true: integrity, compassion, relationships, innovation and performanceWhether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journeyLearn more at https://uhg.hr/transitioning-military
Learn how teresa, a senior quality analyst, works with military veterans and ensures they receive the best benefits and experience possibleHttps://uhg.hr/vet
Careers with optumHere`s the ideaWe built an entire organization around one giant objective; make the health system work better for everyoneSo when it comes to how we use the world`s large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serveOptum, part of the unitedhealth group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best workSm
Colorado residents only: the hourly range for colorado residents is $15.00 to $22.02Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
Diversity creates a healthier atmosphere: unitedhealth group is an equal employment opportunity / affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Unitedhealth group is a drug - free workplaceCandidates are required to pass a drug test before beginning employment.
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