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.
Welcome to one of the toughest and most fulfilling ways to help people, including yourselfWe offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancementJoin us and start doing your life`s best work Sm
The longer you go at this, the more you learnAnd as you get stronger, you`ll see more and more doors open that challenge you to bring your bestThis specialist role with unitedhealth group will call on your knowledge, your energy and your commitment to making health care work more effectively for more peopleYou`ll bring a strong customer service focus to the installation and administration of provider contracts within various united health group systemsYou`ll find the impact you want and the training, resources, backing and opportunities that you`d expect from a fortune 6 leader.
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 8am - 5pmIt 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
Receive and process quarterly and annual support table files including but not limited to icd-10, cpt, tax rates, and zip codes
Monitor and update regulatory rate modifications for medicaid and medicare
Perform basic system configuration maintenance
Perform testing on basic system configurations
Aid in generating and processing edi files and coordinate exchange with plan partner representatives
Document business workflow diagrams using ms visio
Document and/or update business process procedures within the database management in the form of written policies and procedures
Monitor and replicate claim inventory counts including droh for the purpose of internal claims inventory reconciliation.
Configure outbound call campaigns
Benefit and pricing research for external audits and/or rfp purposes
Create and maintain new user accounts for all march proprietary software applications
Eligibility and claim history research as required for member accumulator updates
Maintain departmental forms
Any other tasks as required in support of the database management department
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 equivalent work experience
1+ years of edi transaction / claim processing / benefit-pricing configuration or healthcare software system configuration experience.
2+ years of experience in a role requiring strong prioritization/organizational skills and strong interpersonal skills including telephone etiquette
Experience with microsoft excel (sort, filter, enter data, use basic formulas) and microsoft word (create and modify documents)
Preferred qualifications
Bachelor`s degree (or higher)
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 at unitedhealthcare employer & individual We all want to make a difference with the work we doSometimes we`re presented with an opportunity to make a difference on a scale we couldn`t imagineHere, you get that opportunity every dayAs a member of one of our elite teams, you`ll provide the ideas and solutions that help nearly 25 million customers live healthier livesYou`ll help write the next chapter in the history of healthcareAnd you`ll find a wealth of open doors and career paths that will take you as far as you want to goGo furtherThis is your life’s best workSm
Colorado residents only: the hourly range for colorado residents is $17.12 to $30.34Pay 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.
Building out the best provider networks and leveraging their strengths will ensure that unitedhealth group provides better care for more people for years to comeJoin usLearn more about how you can start doing your life`s best workSm
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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