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Claims Representative Associate - Remote

Company: UnitedHealth Group
Location: Hartford
Posted on: May 15, 2022

Job Description:

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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 life's best work.SM The Claims Representative Associateis responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Primary Responsibilities:

  • Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
  • Authorize the appropriate payment or refers claims to investigators for further review.
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Analyze and identify trends and provide reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX
  • Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
  • Calculate other insurance and re-pricing benefits
  • Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
  • Updates and maintains claims tracking database 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)
    • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
    • Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
    • 2+ years of data entry experience
    • Basic understanding of healthcare claims including ICD-9 and CPT codes - - Telecommuting Requirements:
      Required to have a dedicated work area established that is separated from other living areas and provides information privacyAbility 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 servicePreferred Qualifications:
      • 1+ years of experience working with medical claims
      • Prior experience working with IDX software
      • 1+ years of working in production based environment
      • Type 60+ WPMSoft Skills:
        • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each productUnitedHealth 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 that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether 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 journey. Learn more at Learn how Teresa, a Senior Quality Analyst, -works with -military veterans and ensures they receive the best benefits and experience possible. -Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 -organization that's serving more than 85 million people already and building the industry's 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 where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMColorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $15.00 to $19.09. The salary range for Connecticut / Nevada residents is $15.00 to $21.06. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentivesDiversity 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 workplace. Candidates are required to pass a drug test before beginning employment.Keywords: claims, data entry, coding, medical coding, customer service representative, customer service, CSR, UnitedHealth Group, Optum, OptumRx, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate #rpo

Keywords: UnitedHealth Group, Hartford , Claims Representative Associate - Remote, Other , Hartford, Connecticut

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