Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM
What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/
Analyze and apply denials to third party carriers in all media types
Comply with departmental Business Rules and Standard Operating Procedures
Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt
Interpret explanation of benefits for appropriate follow up action
Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information
Create work list through database and manipulate data to analyze for trends and resolve claims for adjudication
Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing
Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding
Conduct data entry and rework for adjudication of claims
Works on various other projects as needed
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance
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.
High School Diploma / GED (or higher)
1+ years of customer service experience
Demonstrated ability using computer and Windows PC applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
Previous work experience requiring exceptional data entry proficiency and accuracy
Must reside within a 50 mile radius of Norristown, PA
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
1+ years of experience in A / R, Billing, and Customer Service, Insurance, or Healthcare
Medical terminology acumen
Certified medical coder or involved with medical coding
Previous experience with medical claims processing
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
Some of the steps we've taken to ensure employee well-being include:
Transitioned our new hire training classes to be conducted virtually
Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
Fully cover the COVID-19 healthcare costs for our employees
Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home
You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do 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.
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Unitedhealth Group Inc.