Primary Responsibilities:
Accurate processing and completion of medical claims
Process claims that route out of automatic adjudication, within current turnaround standards
Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Graduation – Non-technical only
0 – 2 years of experience
Demonstrate proficiency in product lines applicable to processing unit
Good communication skills written and verbal
Good typing speed (English) and accuracy
Result-oriented and goal-driven
Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
Strong verbal and written communication skills
Ability to accept constructive criticism with being coached and growing as a professional
Critical thinking abilities
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Ability to remain focused and productive each day though tasks may be repetitive
Willing to work from office in night shifts
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
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.
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