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2 Associate Claims Representative - Remote in EST OR CST Jobs in Greensboro, NC

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UnitedHealth Group
Greensboro, NC | Full Time
$37k-46k (estimate)
2 Weeks Ago
UnitedHealthcare
Greensboro, NC | Full Time
$37k-46k (estimate)
2 Weeks Ago
Associate Claims Representative - Remote in EST OR CST
UnitedHealthcare Greensboro, NC
$37k-46k (estimate)
Full Time | Wholesale 2 Weeks Ago
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UnitedHealthcare is Hiring a Remote Associate Claims Representative - Remote in EST OR CST

If you are located within the Eastern OR Central Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best work.SMThis position is full - time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 AM - 6:00 PM within your time zone. It may be necessary, given the business need, to work occasional overtime.
We offer 12 - 14 weeks of paid training. The hours during training will be 8:00 AM - 4:30 PM EST.
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
  • Review, research, solve, and process assigned work; This would include navigating multiple computer systems and platforms (e.g., verify pricing, prior authorizations, applicable benefits)
  • Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes, and procedures (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS / Medicare guidelines, benefit plan documents / certificates tool)
  • Independently complete on a daily basis all documentation and communicate the status of claims as needed adhering to all reporting requirements
  • Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
  • Learn and leverage new systems and training resources to help apply claims processes / procedures appropriately (e.g., on - line training classes, coaches / mentors)
  • Meet and maintain the performance goals established for the position in the areas of quality, production and attendance
  • Consistent attendance with ability to meet work schedule including the required training period
  • Successful completion of the UnitedHealth Group 12 to 14-week new hire training program (requires ability to read complex information and demonstrate proficiency through testing and practical application)
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 2 years of equivalent working experience
  • Must be 18 years of age OR older
  • Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications efficiently
  • Experience in working with multiple applications / software at the same time
  • Experience in working with multiple monitors
  • Ability to work any 8-hour shift between the hours of 6:00 AM - 6:00 PM including the flexibility to work occasional overtime based on business need
Preferred Qualifications
  • MS DOS experience
  • Experience with reviewing, researching, solving, and processing assigned work
  • Experience in a metrics - based environment with production goals
  • Reside within the Eastern Time Zone (EST / Eastern Standard Time Zone)
Telecommuting Requirements
  • Reside within the Eastern OR Central Time Zone
  • 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
Connecticut, New Jersey, New York, or Rhode Island Residents Only: The hourly range for this is $16.00 - $28.27 per hour. 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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for 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.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO

Job Summary

JOB TYPE

Full Time

INDUSTRY

Wholesale

SALARY

$37k-46k (estimate)

POST DATE

06/07/2024

EXPIRATION DATE

07/05/2024

WEBSITE

cbgofcolorado.com

HEADQUARTERS

Colorado Springs, CO

SIZE

<25

INDUSTRY

Wholesale

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