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Provider Claims Clerk - Eau Claire, WI

UnitedHealth Group

Eau Claire, WI
Job Code:
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Job Details

738152 Provider Claims Clerk Eau Claire WI

Provider Claims Clerk - Eau Claire, WI (738152)

Position Description

Position Description:
Grow your career with an industry leader! We have training classes starting soon. 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 guarantees
  • Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
  • Identify issue trends affecting multiple areas and escalate to appropriate partners
  • Participate in individual coaching sessions as requested by management
  • Attend group training sessions as requested by management
  • Provide expertise or general claims support by reviewing, researching, investigating, and entering all types of reconsideration requests
  • Analyze 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 SME
  • May be a resource for new hires
  • May work complex special projects
Required Qualifications:
  • High School Diploma / GED
  • Able to type minimum 40 WPM and 10-Key of 10K or better
  • Previous data entry experience
  • Experience using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
  • Experience 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 needs
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.
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

Job Details

  • Contest Number738152
  • Job TitleProvider Claims Clerk - Eau Claire, WI
  • Job FamilyClaims
  • Business SegmentUHC Benefit Ops - CandS Ops

Job Location Information

  • Eau Claire, 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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