Job Description

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing

your lifes best work.SM

Imagine this. Everyday, in claims centers around the world,

UnitedHealth

Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology Would you think we know how to manage volume You would be right. No ones better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. Well look to you to maintain our reputation for service, accuracy and a positive claims experience. Well back you with great training, support and opportunities.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work 8-hour shift schedules during our normal business hours of 6 am to 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. We offer 12 weeks of paid training. The hours during training will be 7:00am to 3:30pm CST Monday – Friday.

Primary Responsibilities

Provide general claims support by reviewing and processing claims
Calculate other insurance and benefits
Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
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 health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. Youll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the members claim.
Youll 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
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Experience using Microsoft Word (ability to create, edit, save and send documents) and Microsoft Excel (ability to create, edit, save and send spreadsheets)
1 years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Employees are

required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications

Basic understanding of healthcare claims including ICD-9 and CPT codesUnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
You can learn more about all we are doing to fight COVID-19 and support impacted communities athttps://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with UnitedHealthcare. Lets talk about opportunity. Start with a Fortune 7 organization thats serving more than 85 million people already and building the industrys singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever theyre found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives thats second to none. This is no small opportunity. Its where you can do

your lifes best work.SM

Diversity creates a healthier atmosphereUnitedHealth 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 workplace. Candidates are required to pass a drug test before beginning employment.
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Requisition Number:935150

Business Segment:UHC Benefit Ops – Gov't Ops

Employee Status:Regular

Job Level:Individual Contributor

Travel:No

Country:US

Overtime Status:Non-exempt

Schedule:Full-time

Shift:Day Job

Telecommuter Position:No