Job Description

You\xe2\x80\x99ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

At UnitedHealthcare, we\xe2\x80\x99re 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\xe2\x80\x99s best work.SM

The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it\xe2\x80\x99s reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. In this role, you\xe2\x80\x99ll be responsible for the implementation and day to day performance of process activities related to claims research and resolution. This includes the review of claims, contracts, and fee schedules to identify processing, procedural, systemic and billing errors. Join us and build your career with an industry leader.

This position is full - time (40 hours / week), Monday - Friday. Employees are required to work any shift between the hours of 8:00 AM - 5:00 PM (there is flexibility within those hours depending on location) including the flexibility to work occasional overtime and weekends based on business need.

We offer a week of training with a team lead and then on the job training with a mentor. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group\xe2\x80\x99s Telecommuter Policy.

Primary Responsibilities:

• Provide expertise and support by reviewing, researching, investigating and auditing problematic claims
• Analyze and identify trends and provide feedback and reports to reduce errors and improve claims processes and performance
• Responsible for all aspects of quality assurance

You\xe2\x80\x99ll 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 of current processing experience in UMR CPS (claims processing system)
• Experience in working with Microsoft applications, including Microsoft Word (basic copying and pasting into a Word document) and Microsoft Excel (updating spreadsheets)
• Ability to work any shift between the hours of 8:00 AM - 5:00 PM (there is flexibility within those hours depending on location) from Monday - Friday including the flexibility to work occasional overtime and weekends based on business need

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

Soft Skills:

• Ability to multi - task, this includes the ability to understand multiple products and multiple levels of benefits within each product
• Ability to navigate and learn new and complex computer system applications

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $18.80 - $36.78.Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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\xe2\x80\x99ll 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 everyone. We believe everyone\xe2\x80\x93of every race, gender, sexuality, age, location and income\xe2\x80\x93deserves 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 \xe2\x80\x94 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 #YELLOW

UnitedHealth Group