Claims Clerk - Wausau, WI

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.

The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.

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


• 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 maintains claims tracking database

Requirements:

• High School diploma/ GED required
  
• 1+ years of experience in a data entry role in a production environment required
  
• Basic mathematic skills
  
• Intermediate level ability with Windows PC applications
  
• Able to work overtime as needed
• Working Hours 7:00am - 5:00pm Monday - Friday
  
• Numeric 10-key proficiency
  
• Basic proficiency with MS Word and Excel

Assets:

• Familiarity with medical, dental, and/ or hospital bills is preferred
  
• Knowledge of medical coding or medical terminology

Physical Requirements and Work Environment:

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

Take the next step, online at: www.yourlifesbestwork.com

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.