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Associate Claims Representative - Charleston, WV (Job Fair)

UnitedHealth Group Charleston Full-Time
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Join Us for Our Job Fair

Tuesday, August 13, 2019 from 1:00pm to 6:00pm

Geary Plaza (Intersection of Summers Street and Washington Street)

UMR Office

700 Washington Street E

Charleston, WV 25301

URL blocked - click to apply to pre-register for the event

We strongly encourage you to apply in advance of the event if you are interested in this opening. Attendance at the event isn't required to be a candidate for potential employment. 



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


As an Associate Claims Representative, you’ll be responsible for analyzing complex healthcare claims that require research to determine action steps and mathematical calculations necessary to produce an accurate payment. The claims position requires a high level of quality which is to be maintained while achieving a productivity goal. You’ll put your skills and talents to work as you review, research, and process medical claims. It's complex, detailed work. It's a fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment! 


This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am to 4:30pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 700 East Washington Street, Charleston, WV.


There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application.  Once you submit your completed application, you will receive an e-mail with information regarding next steps including any pre-employment assessment(s) that are required.  Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: URL blocked - click to apply


Primary Responsibilities

  • Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify pricing, prior authorizations, applicable benefits)
  • Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/ certificates tool)
  • Independently complete on a daily basis all documentation and communicate the status of claims as needed adhering to all reporting requirements
  • Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
  • Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.g. on-line training classes, coaches/mentors)
  • Meet and maintain the performance goals established for the position in the areas of quality, production and attendance

Required Qualifications

  • 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 Qualification

  • 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
  • 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. Join us as we improve the lives of millions.  Learn more about how you can start doing your life’s best work.SM


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.SM


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.


Key words:  Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing

 

Skills required

Collections
Claims
Billing
Insurance
Accounts Receivable
Casualty Insurance
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Job ID: 2551_835675

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UnitedHealth Group is Fortune 5 and working to create the health
care system of tomorrow.  We can’t do it alone.  We need your help,
skills and drive to serve others.  
Consider your future: workatuhg.com

Our industry is focused on innovation and change. You can expect
to work a little harder, because we aim a little higher to meet the rapidly
evolving needs of healthcare.  We expect more from ourselves as well as
those who share our passion for excellence. If you’re open to that challenge,
you’ve come to the right place. Yes, we’ll test your skills, then help you to
build more. 

Through our family of businesses and a lot of inspired
individuals, we're building a high-performance health care system that works
better for more people in more ways than ever.

If you would describe yourself as compassionate, decisive, and
built for speed, we want to hear from you.  This is the place to share
your ideas and your passion for making a difference right now. We won’t promise
you the world, but we will promise you the opportunity to do
your life’s
best workSM


Because we recruit talent for a diverse range of areas - from
finance and nursing to customer service, marketing, legal and beyond – chances
are, we’ll have an opportunity for you.

UnitedHealth Group Values:

Just like you, we’re driven by values that are guiding our way
forward:

Integrity
– Honor commitments. Never compromise ethics. 
Compassion – Walk in the shoes of people we serve, and those with whom
we work.
Relationships – Build trust through collaboration.
Innovation – Invent the future, learn from the past.
Performance – Demonstrate excellence, in everything we do.

With these values as our foundation, and through the talents,
drive and compassion of people like you, UnitedHealth Group will transform
health care. And we’ll continue our evolution as a company, making an even
greater positive impact on the lives of those we serve. 

Consider your future:
workatuhg.com

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