Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Grow your career with an industry leader! We have training classes starting soon. Apply now!You're looking for something bigger for your career. You're looking for a place where you will be empowered to be your best. When you join UnitedHealthcare, you'll be part of a team committed to reshaping the way health care works for millions. You'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. You won't just provide customer service; you'll change health care for the better starting with every health care provider you talk to. Your commitment to supporting them will directly translate into better care for their patients. And you'll be well supported with the latest tools and advanced training classes to set you up for success. Don't wait to join us! There's never been a better time than now to start doing your life's best work. When you join our team as a Providers Claims Clerk, you'll be responsible for supporting the intake of Provider claims reconsideration requests through researching the type of request, claims history, and accurately routing to the correct adjustment department for completion. The position will be based out of our Eau Claire, WI office. Primary Responsibilities:Ensure all adjustment requests are entering into the system within required timeframes to meet performance guaranteesParticipate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvementsIdentify issue trends affecting multiple areas and escalate to appropriate partnersParticipate in individual coaching sessions as requested by management Attend group training sessions as requested by managementProvide expertise or general claims support by reviewing, researching, investigating, and entering all types of reconsideration requestsAnalyze and identify trends and report as necessary Consistently meet established productivity, schedule adherence, and quality standards Works independently May act as a resource for others or back up for SMEMay be a resource for new hires May work complex special projects
Required Qualifications:High School Diploma / GEDAble to type minimum 40 WPM and 10-Key of 10K or betterPrevious data entry experienceExperience using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programsExperience using Microsoft Word (create, update, and format documents) and Microsoft Excel (create, update spreadsheets, pivot tables, and sort data)Monday - Friday 8-hour shift between 6:00am - 6:00pm with weekends and overtime based on business needsCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV/AIDS and High-risk Pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life's best work. 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.Keywords: claims, medical claims, healthcare claims, claims processing, claims processor; office, UnitedHealth Group, UnitedHealthcare, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.