Healthcare Claims Specialist
2 weeks ago
We are seeking a skilled Claims Representative Associate to join our team at UnitedHealth Group. In this role, you will be responsible for providing expertise and general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. You will analyze and identify trends and provide reports as necessary, consistently meeting established productivity, schedule adherence and quality standards.
Key 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 requires 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 payment. You will 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 member's claim.
Requirements:
- An education level of at least a high school diploma or GED 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
Preferred qualifications include 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools, and 1+ year experience processing medical, dental, prescription or mental health claims.
Making claims a positive experience for our members can drive your sense of impact and purpose. At UnitedHealth Group, we are committed to making the health system work better for everyone. Our goal is to leap beyond the status quo and uncover new ways to serve. Join us in our mission to improve the lives of millions.
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.
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