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Claims Clerk - Phoenix, AZ

UnitedHealth Group


Location:
Phoenix, AZ
Date:
12/12/2017
2017-12-122018-01-10
Job Code:
739849
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Job Details

739849 Claims Clerk Phoenix AZ

Claims Clerk - Phoenix, AZ (739849)

Position Description

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. SM


The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.


Primary Responsibilities:

  • Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.

  • Authorize the appropriate payment or refers claims to investigators for further review.

  • Conduct data entry and re - work; analyzes and identifies trends and provides reports as necessary.

  • Analyze and identify trends and provide reports as necessary

  • Consistently meet established productivity, schedule adherence, and quality standards

  • Recognize claims by determining claim type - HCFA, Hospital, UB, and / or RX

  • Identify more complicated claims and refer them to Senior Claim Processor or Supervisor

  • Calculate other insurance and re-pricing benefits

  • Work claims files to ensure the appropriate eligibility and provider records are matched to the claim

  • Updates and maintains claims tracking database

Requirements:

  • High school diploma / GED or higher 

  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties

  • Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

  • 2+ years data entry experience

  • Basic understanding of healthcare claims including ICD-9 and CPT codes

 Assets:

  • 1+ years experience working with medical claims

  • Prior experience working with IDX software

  • 1+ years working in production based environment

  • Type 60+ words per minute

Soft Skills:

  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

Physical Requirements and Work Environment:

  • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse

  • Office environment 

Careers 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.SM


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.


Keyword: data entry; Claims;  Healthcare; Clerk; Phoenix

Job Details

  • Contest Number739849
  • Job TitleClaims Clerk - Phoenix, AZ
  • Job FamilyClaims
  • Business SegmentUHC Benefit Ops - CandS Ops

Job Location Information

  • Phoenix, AZ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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