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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Claims

Country:

United States

Postal Code:

89044

Approximate Salary:

Not Specified

Position Type:

Full Time

Claims Clerk - Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 08/28/2018

We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's best work.

This is a multi-task position. This person is required to learn many processes, adapt to changes and meet production and quality standards. Positions in this function include basic clerical functions including records maintenance, light typing, filing and report preparation.

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

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
  • 2+ years of data entry experience
  • 1+ years of experience working in production-based environment
  • Basic understanding of healthcare claims, including ICD-10 and CPT codes
  • Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to work Monday-Friday, 8hr workday, 6am-2:30pm, or 6:30am-3pm          
Preferred Qualifications:
  • 1+ years of experience working with medical claims
  • Prior experience working with IDX software
  • Type 60+ words per minute
Soft Skills:
  • Experience in a production environment meeting quality standard
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.   Diversity 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: UHG, UHC, claims clerk, data entry, production clerk, IDX, medical claims

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