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.
Energize your career with one of healthcare’s fastest growing companies.
You dream of a great career with a great company – where you can make an impact and help peopleWe dream of giving you the opportunity to do just thisAnd with the incredible growth of our business, it’s a dream that definitely can come trueAlready one of the world’s leading healthcare companies, unitedhealth group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier livesWe live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: optum – a growing part of our family of companies that make unitedhealth group a fortune 10 leader.
Optum helps nearly 60 million americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goalsNo other business touches so many lives in such a positive wayAnd we do it all with every action focused on our shared values of integrity, compassion, relationships, innovation & performance.
It’s that time, isn’t it? you’re ready for the next step forward and an opportunity to build on your skillsAnd it just so happens that there’s never been a better time to get on the team at unitedhealth group We’ve built one of the world’s most effective and respected claims processing teamsAnd that’s where you come inWe’ll look to you to maintain our reputation for service, accuracy and providing a positive claims experienceWe’ll back you with the great training, support and opportunities you’d expect from a fortune 10 company 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 (8:00am - 4:30pm)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:
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for paymentYou’ll need to be comfortable navigating across various computer systems to locate critical informationAttention to detail is critical to ensure accuracy which will support timely processing of the member`s claim.
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 years of work experience
1+ years of experience in a related environment (i.eOffice, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Proficiency with computer and windows pc applications, which includes the ability to learn new and complex computer system applications
Preferred qualifications:
1+ years of experience processing medical, dental, prescription or mental health claims
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
Making claims a positive experience for our members can drive your sense of impact and purposeJoin us as we improve the lives of millionsLearn more about how you can start doing your life’s best workSm
Optumrx is an empowering place for people with the flexibility to help create changeInnovation is part of the job descriptionAnd passion for improving the lives of our customers is a motivating factor in everything we do.
If you`re ready to talk about groundbreaking interactions, let`s talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impactLet`s talk about smart, motivated teamsLet`s talk about more effective and affordable healthcare solutionsThis is caringThis is great chemistryThis is the way to make a differenceWe`re doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performanceJoin us and start doing your life’s best workSm
Colorado residents only: the hourly range for colorado residents is $15.00 to $25.19Pay 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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