Optum
Overview
Join to apply for the
Claims Representative Associate
role at
Optum . This position is National Remote. Telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. This role is full time (40 hours/week) with Monday - Friday schedules and potential overtime as needed. Training is 3-4 weeks, with hours 8:00 am to 5:00 pm, Monday - Friday. We offer a comprehensive benefits package and career development opportunities. The salary range for this role, based on full-time employment, is provided in the job posting and may vary by location and experience. Responsibilities
Applies knowledge/skills to activities that often vary from day to day. Demonstrates a moderate level of knowledge and skills in own function. Requires little assistance with standard and non-standard requests. Solve routine problems on own and, when needed, work with supervisor to solve more complex problems. Prioritize and organize own work to meet agreed-upon deadlines. Work with others as part of a team. Use Claims Processing Systems/Resources to process claims and navigate systems/tools efficiently (e.g., policy/procedure manuals, knowledge libraries, training materials, databases, SharePoint, data warehouses). Learn and use new systems/applications/resources as needed. Claims Processes and Procedures: apply appropriate processes and procedures to process claims (e.g., policies and procedures, state mandates, CMS/Medicare guidelines, benefit plan documents). Leverage training resources to apply claims processes/procedures (e.g., UI-earn courses, coaches/mentors). Apply knowledge of applicable laws, regulations and compliance requirements to ensure proper processing (e.g., HIPAA, PPACA/Health Care Reform, state regulations, grievance procedures). Demonstrate Knowledge Of Products and Services: maintain knowledge of product/service offerings and value to members/providers; stay current on changes; understand benefit plan provisions. Apply knowledge of products and services to process claims accurately. Qualifications
Required Qualifications
High School diploma / GED or equivalent work experience Must be 18 years or older Proficiency with Windows PC applications and ability to navigate multiple programs Microsoft Office Suite experience (Outlook, Excel, Word) Ability to work any 8-hour shift during 8:00 am - 5:00 pm, with potential overtime Preferred Qualifications
Experience processing medical, dental, prescription or mental health claims Telecommuting Requirements
Ability to keep all company sensitive documents secure (if applicable) Dedicated work area that ensures information privacy Must live in a location with UnitedHealth Group approved high-speed internet or have access to suitable internet All remote employees must adhere to UnitedHealth Group's Telecommuter Policy Pay is based on factors including location, experience, and qualifications. Benefits include a comprehensive package, incentive programs, stock purchase and 401k contributions where eligible. Application Deadline: This posting remains for a minimum of 2 business days or until a sufficient candidate pool is collected. It may come down early due to volume of applications. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. UnitedHealth Group is a drug-free workplace; candidates must pass a drug test before beginning employment. #J-18808-Ljbffr
Join to apply for the
Claims Representative Associate
role at
Optum . This position is National Remote. Telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. This role is full time (40 hours/week) with Monday - Friday schedules and potential overtime as needed. Training is 3-4 weeks, with hours 8:00 am to 5:00 pm, Monday - Friday. We offer a comprehensive benefits package and career development opportunities. The salary range for this role, based on full-time employment, is provided in the job posting and may vary by location and experience. Responsibilities
Applies knowledge/skills to activities that often vary from day to day. Demonstrates a moderate level of knowledge and skills in own function. Requires little assistance with standard and non-standard requests. Solve routine problems on own and, when needed, work with supervisor to solve more complex problems. Prioritize and organize own work to meet agreed-upon deadlines. Work with others as part of a team. Use Claims Processing Systems/Resources to process claims and navigate systems/tools efficiently (e.g., policy/procedure manuals, knowledge libraries, training materials, databases, SharePoint, data warehouses). Learn and use new systems/applications/resources as needed. Claims Processes and Procedures: apply appropriate processes and procedures to process claims (e.g., policies and procedures, state mandates, CMS/Medicare guidelines, benefit plan documents). Leverage training resources to apply claims processes/procedures (e.g., UI-earn courses, coaches/mentors). Apply knowledge of applicable laws, regulations and compliance requirements to ensure proper processing (e.g., HIPAA, PPACA/Health Care Reform, state regulations, grievance procedures). Demonstrate Knowledge Of Products and Services: maintain knowledge of product/service offerings and value to members/providers; stay current on changes; understand benefit plan provisions. Apply knowledge of products and services to process claims accurately. Qualifications
Required Qualifications
High School diploma / GED or equivalent work experience Must be 18 years or older Proficiency with Windows PC applications and ability to navigate multiple programs Microsoft Office Suite experience (Outlook, Excel, Word) Ability to work any 8-hour shift during 8:00 am - 5:00 pm, with potential overtime Preferred Qualifications
Experience processing medical, dental, prescription or mental health claims Telecommuting Requirements
Ability to keep all company sensitive documents secure (if applicable) Dedicated work area that ensures information privacy Must live in a location with UnitedHealth Group approved high-speed internet or have access to suitable internet All remote employees must adhere to UnitedHealth Group's Telecommuter Policy Pay is based on factors including location, experience, and qualifications. Benefits include a comprehensive package, incentive programs, stock purchase and 401k contributions where eligible. Application Deadline: This posting remains for a minimum of 2 business days or until a sufficient candidate pool is collected. It may come down early due to volume of applications. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. UnitedHealth Group is a drug-free workplace; candidates must pass a drug test before beginning employment. #J-18808-Ljbffr