Employer: UnitedHealth Group
Primary Responsibilities:
- Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
- Analyze and identify trends and provides reports as necessary
- Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
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 10+ years of equivalent work experience
- Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Telecommuting Requirements:
- Required to have a 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)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
- 2+ years of experience in claims processing and/or recovery/resolution
Soft Skill:
- Experience with training and coaching team members
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