Provider Reimbursement Representative

Employer: UnitedHealth Group

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)

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

Primary Responsibilities

• Assist with programs designed to ensure proper application of contracted rates and reimbursement policies for company affiliates
• Analyze claims, pre and post payment, to ensure proper pricing of contracts, reimbursement policies and procedures
• Review claim disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors
• Recommend system changes, training, and process improvements to prevent future errors
• In this role, you’ll need to be able to work quickly and accurately. In order to effectively support manual claims repricing, you’ll need to learn and adapt to a variety of platforms while working to meet aggressive performance objectives
• Analyze claims, pre and post payment, to ensure contracts and reimbursement policies and procedures are priced accurately
• Review claim disputes to verify correct pricing and analyzes claim inquiry data to determine root cause of errors
• Work with both internal and external customers to identify and resolve complex problems
• Extensive work experience within own function
• Work is frequently completed without established procedures
• Works independently
• May act as a resource for others
• May coordinate others’ activities

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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)
• 1+ years’ experience in claims research, analysis and reporting
• Experience using Microsoft Office products including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)

Preferred Qualifications

• 1+ years’ experience working with reimbursement methodologies

APPLY HERE