Claims Clerk – National Remote

UMR, UnitedHealthcare’s third – party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It’s that simple . . . and it’s that rewarding.

In providing consumer – oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record – breaking growth.

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast – paced and highly diversified career.

The Claims Clerk is responsible for providing expertise or general claims support to teams.

This 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 8:00 AM – 5:00 PM EST. It may be necessary, given the business need, to work overtime, weekends, and holidays.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities: 

• Set Up New Claims daily from Clients 
• Handle Ky Phone Queue 
• Participate in Phone Rotation for other Offices 
• Processing (includes indexing and distributing daily mail) 
• Processing Denied Invoices tasked by Adjusters 
• Accessing Faxes and distributing 
• Preparing Eligibility Letters for specific Claims 
• Preparing Check Pull List weekly 
• Preparing and Issuing Auto Pay Report twice a week to Adjusters 
• Preparation of “Q” letters  
• Providing Back Up to Other Offices as Needed 
• All Other Duties as Assigned

 

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 
• Must be 18 years of age OR older
• 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
• 1+ years of data entry experience
• Experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 8:00 AM – 5:00 PM EST from Monday – Friday. It may be necessary, given the business need, to work overtime, weekends, and holidays.

 

Preferred Qualifications:

• Knowledge of ICD10

 

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

 

Soft Skills:

• Communication skills 
• Patience 
• Phone Etiquette  
• Dependable and Reliable 
• Timeliness 
• Quick Learner 
• Team Player 
• Strong Work Ethic  
• Adaptable to changing job duties
• Ability to multitask

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The hourly range for this role is $16.00 to $24.42 per hour based on full-time employment. 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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

 

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