Senior Claims Representative - Telecommute

UnitedHealth Group

San Antonio Texas

United States

Financial Services - Insurance
(No Timezone Provided)

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve **your life s best work.(sm)**Our office is located at San Antonio, TX, but you ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Energize your career with one of Healthcare s fastest growing companies.You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it s a dream that definitely can come true. Already one of the world s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.This is an opportunity that s all about where you ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. 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 for your experience and expertise to help keep our service levels and accuracy extremely high. We ll also look for your ideas on how to constantly evolve our claims processes. We ll back you with the great training, support and opportunities you d expect from a Fortune 5 company leader.The Senior Claims Representative - US Remote position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (6:00am - 9:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 12459 Network Blvd San Antonio, TX 78249.You ll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.**Primary Responsibilities:**+ Assist with escalated claims to resolve complex issues for team members and internal customers+ Support implementation of updates to the current procedures and assist with new system training/mentoring+ Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim+ Analyze and identify trends and provides reports as necessaryThis 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 ensure 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 higher) OR equivalent years of work experience+ 3+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools+ 1+ years of experience processing medical, dental, prescription or mental health claims+ Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications+ Ability to work any of our 8-hour shift schedules during our normal business hours of (6:00am - 9:00pm)**Telecommuting Requirements:**+ Dedicated work area established that is separated from other living areas and provides information privacy+ Ability to keep all company sensitive documents secure (if applicable)+ Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serviceMilitary & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at .Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. Group requires all new hires and employees to report their COVID-19 vaccination status._**Careers with WellMed.** Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do **your life's best work.(sm)****WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.**Colorado Residents Only: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.*All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.__OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._Job Keywords: Healthcare, Health Care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, Hiring Immediately, Telecommute, Remote, Work From Home, San Antonio, TX, Texas, RPO

Senior Claims Representative - Telecommute

UnitedHealth Group

San Antonio Texas

United States

Financial Services - Insurance

(No Timezone Provided)

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve **your life s best work.(sm)**Our office is located at San Antonio, TX, but you ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Energize your career with one of Healthcare s fastest growing companies.You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it s a dream that definitely can come true. Already one of the world s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.This is an opportunity that s all about where you ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. 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 for your experience and expertise to help keep our service levels and accuracy extremely high. We ll also look for your ideas on how to constantly evolve our claims processes. We ll back you with the great training, support and opportunities you d expect from a Fortune 5 company leader.The Senior Claims Representative - US Remote position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (6:00am - 9:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 12459 Network Blvd San Antonio, TX 78249.You ll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.**Primary Responsibilities:**+ Assist with escalated claims to resolve complex issues for team members and internal customers+ Support implementation of updates to the current procedures and assist with new system training/mentoring+ Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim+ Analyze and identify trends and provides reports as necessaryThis 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 ensure 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 higher) OR equivalent years of work experience+ 3+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools+ 1+ years of experience processing medical, dental, prescription or mental health claims+ Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications+ Ability to work any of our 8-hour shift schedules during our normal business hours of (6:00am - 9:00pm)**Telecommuting Requirements:**+ Dedicated work area established that is separated from other living areas and provides information privacy+ Ability to keep all company sensitive documents secure (if applicable)+ Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serviceMilitary & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at .Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. Group requires all new hires and employees to report their COVID-19 vaccination status._**Careers with WellMed.** Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do **your life's best work.(sm)****WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.**Colorado Residents Only: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.*All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.__OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._Job Keywords: Healthcare, Health Care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, Hiring Immediately, Telecommute, Remote, Work From Home, San Antonio, TX, Texas, RPO