Remote Associate Claims Representative

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by Chris Durst       Aug. 7, 2024

UnitedHealthcare has posted a Remote Associate Claims Representative position to their careers page.

In this full-time role, you will “review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll 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.”

That may sound daunting, but the job listing DOES NOT REQUIRE HEALTH CLAIMS EXPERIENCE.

Applicants should have a high school diploma or GED, 1 or more years experience using phones and computers as primary job tools, solid Windows PC computer skills, and experience in Microsoft Word and Excel.

The posted pay range is $16.00 – $28.27 per hour.

The company also offers a comprehensive benefits package.

Following are excerpts from the Remote Associate Claims Representative job posting:

Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work 8-hour shift schedules during our normal business hours of 6:00am to 6:00pm candidate’s local time zone. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 12 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday – Friday.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Provide general claims support by reviewing and processing claims
• Calculate other insurance and benefits
• Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
• Consistently meet established productivity, schedule adherence, and quality standards

This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll 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.

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 Qualifications:

• High School Diploma / GED OR equivalent work experience
• 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications.
• Experience using Microsoft Word (ability to create, edit, save and send documents)
• Microsoft Excel (ability to create, edit, save and send spreadsheets)
• Must be 18 years of age OR older
• Ability to work full-time, Monday – Friday between 6:00am to 6:00pm candidate’s local time zone including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

• Basic understanding of healthcare claims including ICD-9 and CPT codes

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 – $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

HOW TO APPLY

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CLICK HERE for full details and to apply for this Remote Associate Claims Representative position. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, join our free Telegram channel. Good luck as you make your work from home plans a reality!