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Claims Clerk - Wausau, WI

UnitedHealth Group


Location:
Wausau, WI
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
740313
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Job Details

740313 Claims Clerk Wausau WI

Claims Clerk - Wausau, WI (740313)

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.
 
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
  • Limited work experience
  • Works on simple tasks using established procedures
  • Depends on others for guidance
  • Work is typically reviewed by others
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of experience in an office setting environment using a computer as the primary instrument to perform job duties
  • 1+ years of experience managing with multiple tabs within Internet Explorer in a work environment
  • Ability to work 8:00 am - 4:30 pm for training and 7:00 am - 5:00 pm (8 hours) after training
Preferred Qualifications:
  • Prior experience working with Medical Claims
  • Ability to type 60+ WPM
  • Proficient with 10 key numeric pad data entry
  • Experience in production based environment
  • Understanding of Healthcare Claims including ICD-10 and CPT codes
Physical Requirements and Work Environment:
  • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare,  health care, office, phone support, claims clerks, Wausau,WI , medical claims , healthcare claims

Job Details

  • Contest Number740313
  • Job TitleClaims Clerk - Wausau, WI
  • Job FamilyClaims
  • Business SegmentEmployer and Individual

Job Location Information

  • Wausau, WI
    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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