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.

This position is full-time (40 hours/week) Monday- Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (6:00am-7:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 Tenaya Way, Las Vegas, NV

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 mai ntains claims tracking database

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

REQUIREMENTS:

• High school diploma or GED
• 1+ year 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
• Basic understanding of healthcare claims including ICD-9 and CPT codes
• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

ASSETS:

• 2+ year's data entry experience
• 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

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT:

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

CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.