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Job Status:
Full Time
Work Experience Required:
Hours/Shifts:
Day (First Shift)
Education Required:
Certification Required:
Unspecified
Weekends:
Not Required
Authorized to work in US:
Yes
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| Pay and Benefits |
Salary Range:
Unspecified
Benefits:
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Claims Representative - Oklahoma City, OK-314350
UnitedHealth Group
Description
UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Position Description:
Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
Qualifications
· 1 - 2 years of experience processing healthcare claims, including adjustments is required
· 2+ years of customer service is required
· MS Word, Excel, and Outlook required
· Experience with claims appeals and correspondence is preferred
· PPO1, SIMS and FACETS is preferred
· Customer service within health insurance is strongly preferred
· Knowledge of procedure and diagnosis coding practices
· Works with others as part of a team
· High school education or equivalent experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
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