Claims Clerk - Remote Near Any Uhc Office ($16.00 - $23.13 / Hour)

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If you are located within 50 miles of any UHC office, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.SM

The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

First Two weeks you will be required to work on site, training is virtual and after training you have a choice to work onsite or work remote.

• All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities

• Consistently meet established productivity, schedule adherence, and quality standards
• Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
• Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
• Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX
• Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
• Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
• Updates and maintains claims tracking database
• Calculate other insurance and re-pricing benefits
• Analyze and identify trends and provide reports as necessary
• Authorize the appropriate payment or refers claims to investigators for further review.

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 Qualification

• High school diploma / GED (or higher)
• Ability to work 8am-5pm. It may be necessary, given the business need, to work occasional overtime or weekends.
• Experience working in office environment

Preferred Qualification

• 1+ years working in production-based environment
• Basic understanding of healthcare claims including ICD-9 and CPT codes
• Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• 2+ year's data entry experience
• Type 60+ words per minute
• 1+ years' experience working with medical claims

Soft Skill

• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

Telecommuting Requirements

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to keep all company sensitive documents secure (if applicable)
• Reside within 50 miles of any UHC office
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Physical And Work Environment

• Office environment
• Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse

Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New J