Claims Representative – Remote in Pacific, Mountain or Central Time Zone in Dallas, Texas

UnitedHealth Group

In case you are positioned inside Pacific, Mountain OR Central time Zone, you should have the flexibleness to telecommute* (do business from home) as you tackle some robust challenges.

OptumRx is an empowering place for individuals with the flexibleness to assist create change. Innovation is a part of the job description. And fervour for enhancing the lives of our prospects is a motivating think about every thing we do.

In case you’re prepared to speak about groundbreaking interactions, let’s speak about what occurs when a agency that touches tens of millions of lives decides to collect outcomes from tens of millions of prescriptions each month and analyze their influence. Let’s speak about sensible, motivated groups. Let’s speak about simpler and reasonably priced healthcare options. That is caring. That is nice chemistry. That is the way in which to make a distinction. We’re doing all this, and extra, via a higher dedication to our shared values of integrity, compassion, relationships, innovation and efficiency. Be part of us and begin doing your life’s greatest work. SM

This place is full-time (40 hours/week) Monday – Friday. Workers are required to have flexibility to work any of our 8-hour shift schedules throughout our regular enterprise hours of seven:30am – 4:00pm Pacific Time Zone. It might be needed, given the enterprise want, to work occasional additional time and/or weekends.

We provide 2 weeks of paid coaching which can encompass modulars/be taught sources and can pair with SME or Senior Claims Consultant for on-the-job coaching for as much as 60 days. The hours throughout coaching might be 7:30am to 4:00pm PST, Monday – Friday. Coaching might be carried out nearly from your property.

*All Telecommuters might be required to stick to UnitedHealth Group’s Telecommuter Coverage.

Major Tasks:

  • Present experience or basic claims assist by reviewing, researching, investigating, negotiating, processing, and adjusting claims

  • Analyze and establish traits and supply experiences as needed.

  • Persistently meet established productiveness, schedule adherence and high quality requirements

It is a difficult position that takes a capability to completely overview, analyze and analysis complicated healthcare claims to establish discrepancies, confirm pricing, affirm prior authorizations and course of them for fee. You’ll have to be comfy navigating throughout varied pc techniques to find crucial info. Consideration to element is crucial to make sure accuracy which can assist well timed processing of the member’s declare.

You’ll be rewarded and acknowledged in your efficiency in an setting that can problem you and offer you clear route on what it takes to achieve your position in addition to present growth for different roles it’s possible you’ll be serious about.

Required {Qualifications}:

  • Excessive Faculty Diploma / GED OR equal years of labor expertise

  • 1+ years of expertise in a healthcare associated setting (i.e. workplace, administrative, clerical, customer support, and so forth.) utilizing telephones and computer systems as the first job instruments

  • Primary proficiency with Microsoft Workplace Outlook (e mail) and Microsoft Phrase (creating and/or edit current docs/templates)

  • Capability to work from Monday – Friday 7:30am – 4:00pm Pacific Time Zone, together with the flexibleness to work occasional additional time and weekends because the enterprise want

  • Should be 18 years of age OR older

Most well-liked {Qualifications}:

  • 1+ years of expertise processing pharmacy or prescription claims, OR in a PBM (pharmacy profit setting OR setting)

  • Expertise utilizing Microsoft Groups OR Excel

  • Pharmacy Tech expertise

  • Capability to be taught new and sophisticated pc system functions

Telecommuting Necessities:

  • Reside throughout the Pacific, Mountain OR Central Time Zone

  • Required to have a devoted work space established that’s separated from different residing areas and offers info privateness

  • Should reside in a location that may obtain a UnitedHealth Group accredited high-speed web connection or leverage an current high-speed web service

Making claims a constructive expertise for our members can drive your sense of influence and objective. Be part of us as we enhance the lives of tens of millions. Study extra about how one can begin doing your life’s greatest work. SM

California, Colorado, Nevada or Washington Residents Solely: The hourly vary for California / Colorado / Nevada / Washington residents is $16.54 – $32.55 per hour. Pay relies on a number of components together with however not restricted to schooling, work expertise, certifications, and so forth. Along with your wage, UnitedHealth Group provides advantages resembling, a complete advantages bundle, incentive and recognition packages, fairness inventory buy and 401k contribution (all advantages are topic to eligibility necessities). Regardless of the place or if you start a profession with UnitedHealth Group, you’ll discover a far-reaching alternative of advantages and incentives.

At UnitedHealth Group, our mission is to assist individuals reside more healthy lives and make the well being system work higher for everybody. We imagine everybody–of each race, gender, sexuality, age, location, and earnings–deserves the chance to reside their healthiest life. At this time, nonetheless, there are nonetheless far too many limitations to good well being that are disproportionately skilled by individuals of coloration, traditionally marginalized teams, and people with decrease incomes. We’re dedicated to mitigating our influence on the setting and enabling and delivering equitable care that addresses well being disparities and improves well being outcomes — an enterprise precedence mirrored in our mission.

Variety creates a more healthy environment: UnitedHealth Group is an Equal Employment Alternative/Affirmative Motion employer and all certified candidates will obtain consideration for employment with out regard to race, coloration, faith, intercourse, age, nationwide origin, protected veteran standing, incapacity standing, sexual orientation, gender id or expression, marital standing, genetic info, or every other attribute protected by legislation.

UnitedHealth Group is a drug-free office. Candidates are required to cross a drug take a look at earlier than starting employment.


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