UnitedHealth Group Jobs | Claims Clerk Apply Now

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

Required Qualifications:

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

Preferred Qualifications:

• 1+ years of experience working with medical claims
• Prior experience working with IDX software
• 1+ years of working in production-based environment
• Ability to type 60+ WPM