[Hiring] Claims Representative @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

The Claims Representative/Insight Analyst Assistant primary duties may include but are not limited to:

• Initiating and managing tasks associated with case workflow.
• Adhering to protected health information rules and regulations on behalf of our clients.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. This will be on the job training and the hours during training will be during normal business hours.

Primary Responsibilities:

• Process medical record submissions through various avenues.
• Manages cases from the time of opening to the time medical records are received including verification and management of standard turn-around times on cases, or the case is closed for NMR.
• Acts as a Subject Matter Expert (SME) and provides exceptional communications with Providers.
• Requires an individual to maintain the ability to work in an environment with PHI.
• Understands and adheres to HIPPA privacy requirements.
• Other duties as assigned.

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of customer service experience
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Ability to work full-time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime

Requirements

• 1+ years of experience in healthcare related or healthcare claim industry

Telecommuting Requirements

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

Soft Skills

• Strong verbal and written communication
• Requires a commitment to confidentiality, privacy, and professionalism
• Ability to work independently and as a team member
• Self-motivation, flexible, strong time management, organizational and analytical skills
• Must be detail oriented and possess the ability to multi-task
• Experience working in a fast-paced professional environment

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Hourly pay for this role will range from $18 - $32 per hour based on full-time employment

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.