132 Medical Claims Representative Associate - Las Vegas, NV Jobs in Las Vegas, NV
SORT BY
C
S
U
U
U
U
U
U
T
C
H
R
C
C
C
H
i
iBovi - Staffing, Consulting and Recruitment Services
Las Vegas, NV | Full Time
$116k-159k (estimate)
2 Months Ago
V
D
N
H
C
R
T
L
S
Y
YES! Air Conditioning, Heating, Plumbing & Electric
Las Vegas, NV | Full Time
$66k-93k (estimate)
3 Months Ago
Medical Claims Representative Associate - Las Vegas, NV
$54k-65k (estimate)
Full Time | Wholesale
2 Weeks Ago
UnitedHealthcare is Hiring a Medical Claims Representative Associate - Las Vegas, NV Near Las Vegas, NV
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.SMThe Medical Claims Representative Associate works under minimal supervision adjudicating routine to complex claims. They release designated pending claims to achieve established production, quality, and cycle time standards in accordance with EOC, Benefit Schedules and contractual arrangements. They monitor and report desk inventory notifying management of problem identification.
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 6:00 AM - 5:00 PM. Alternate schedules are available for those who would prefer to work four 10-hour shifts from Monday - Friday as long as employees are working the hours per business need. It may be necessary, given the business need, to work occasional overtime.
Our office is located at 2720 N Tenaya Way, Las Vegas, NV, 89128. We offer up to 4-6 weeks of paid training. The hours of training are Monday - Friday, 7:00am-3:30pm PST. Training will be conducted on - site.Primary Responsibilities
Required Qualifications
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 #RED
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 6:00 AM - 5:00 PM. Alternate schedules are available for those who would prefer to work four 10-hour shifts from Monday - Friday as long as employees are working the hours per business need. It may be necessary, given the business need, to work occasional overtime.
Our office is located at 2720 N Tenaya Way, Las Vegas, NV, 89128. We offer up to 4-6 weeks of paid training. The hours of training are Monday - Friday, 7:00am-3:30pm PST. Training will be conducted on - site.Primary Responsibilities
- Adjudication of claims to quality and production standards applicable to this position.
- Monitor work inventory and submit non-I Max sheets completed accurately by first day of each month.
- Analyze medical claims to ensure accurate claims adjudication. Claims processing in accordance with EOC, Benefit Schedules and Provider Contracts.
- Release by deadline to meet Company, state regulations, contractual agreements and group performance standards.
- Problem identification and reporting to management.
- Resolution of priority projects.
- Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, SHS and departmental confidentiality guidelines.
Required Qualifications
- High school diploma / GED OR equivalent years of work experience
- 6 months previous experience in Medical/ Dental insurance, office or medical billing setting
- 6 months experience with Medical terminology, ICD-10, or CPT coding with an understanding of Insurance Certificates, Benefit Schedules, Provider/Group Contracts and Standard Insurance Industry Practices.
- Must be 18 years of age or older.
- Ability to work 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 6:00 AM - 5:00 PM. Alternate schedules are available for those who would prefer to work four 10-hour shifts from Monday - Friday as long as employees are working the hours per business need. It may be necessary, given the business need, to work occasional overtime.
- 1 years medical claims processing experience working with HMO/PPO or indemnity claims.
- Must possess understanding of basic mathematics.
- Demonstrated knowledge of or ability to learn and apply to job functions, those federal and state laws and regulations applicable to the operating unit.
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 #RED
Job Summary
JOB TYPE
Full Time
INDUSTRY
Wholesale
SALARY
$54k-65k (estimate)
POST DATE
08/28/2024
EXPIRATION DATE
09/25/2024
WEBSITE
cbgofcolorado.com
HEADQUARTERS
Colorado Springs, CO
SIZE
<25
INDUSTRY
Wholesale
Related Companies
Show more
Similar Jobs
Popular Articles
Top 10 Things to Avoid Putting on a Job Application
Read Article
How to Describe Your Education in a Resume
Read Article
How to Write a Memorable Cover Letter in 5 Ways
Read Article
4 Personal Finance Tips to Make During Job Transition
Read Article
4 Best Camera Setups for Interview
Read Article
Keeping a Job Search Journal: 9 Types of Journaling You Can Do
Read Article
