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Providers Claims Clerk - Eau Claire, WI

UnitedHealth Group

UnitedHealth Group

Providers Claims Clerk - Eau Claire, WI

Eau Claire, WI
Full Time
Paid
  • Responsibilities

    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. SM Grow your career with an industry leader! We have training classes starting soon. Apply 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. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8 hour shift schedule during our normal business hours of 7am to 3:30pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2725 Mall Drive, Eau Claire, WI. PRIMARY RESPONSIBILITIES:

    • Provide expertise or general claims support by reviewing, researching, investigating, and entering all types of reconsideration requests
    • 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
    • Consistently meet established productivity, schedule adherence, and quality standards

    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. REQUIRED QUALIFICATIONS:

    • An education level of at least a high school diploma or GED or equivalent years of work experience
    • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

    PREFERRED QUALIFICATIONS:

    • Previous data entry experience
    • Experience using Microsoft Word (create, update, and format documents) and Microsoft Excel (create, update spreadsheets, pivot tables, and sort data)

    CAREERS WITH UNITEDHEALTHCARE. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do YOUR LIFE'S BEST WORK. SM 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 NUMBER 844076
    • JOB TITLE Providers Claims Clerk - Eau Claire, WI
    • JOB FAMILY Claims
    • BUSINESS SEGMENT UHC Benefit Ops - MandR Ops

    Job Location Information

    • Eau Claire, WI United States North America

    Additional Job Detail Information

    • EMPLOYEE STATUS Regular
    • SCHEDULE Full-time
    • JOB LEVEL Individual Contributor
    • SHIFT Day Job
    • TRAVEL No
    • TELECOMMUTER POSITION No
    • OVERTIME STATUS Non-exempt
  • Related Video
  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    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.