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 workSm
This is an opportunity that’s all about where you’ve beenYour experienceYour potentialYour skillsBecause on the team at unitedhealth group, your potential and your impact can be career changingNo company has put together better teams of passionate, energetic and all out brilliant claims representativesThis is where you come inWe’ll look for your experience and expertise to help keep our service levels and accuracy extremely highWe’ll also look for your ideas on how to constantly evolve our claims processesWe’ll back you with the great training, support and opportunities you’d expect from a fortune 6 leader.
We offer 14 weeks of paid trainingThe hours during training will be 7:00am to 4:00pm or 8:00am to 5:00pm cst, monday - fridayTraining will be conducted virtually from your home.
This position is full-time (40 hours/week) monday - fridayEmployees are required to work our normal business hours of 8:00am – 5:00pmIt may be necessary, given the business need, to work occasional overtime or weekends.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
Assist with escalated claims to resolve complex issues for team members and internal customers
Support implementation of updates to the current procedures and assist with new system training/mentoring
Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim
Analyze and identify trends and provides reports as necessary
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment.
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)
3+ years of experience in a related environment (i.eOffice, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Experience with computer and windows pc applications, which includes the ability to navigate and learn new and complex computer system applications
Preferred qualifications:
1+ years of experience processing medical, dental, prescription 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
Careers at unitedhealthcare employer & individualWe 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.
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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