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Claims Representative Associate - Baton Rouge, Louisiana - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Baton Rouge, LA Baton Rouge, Louisiana |
About this job
Positions are located in Baton Rouge, Louisiana.
Don't wait to apply - we have training classes starting soon that are designed to set you up for success!
You dream of a great career with a great company - where you can make an impact and help people. We can offer you just this. And with the incredible growth of our business, it's a dream that definitely can come true when you join us as a Claims Representative Associate. Already one of the world's leading health care companies, UnitedHealthcare is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Whether you have prior experience or not, we'll provide extensive training and a highly supportive environment for all of our Claims team members. This is your opportunity to make a difference, grow your career and do your life's best work. (SM)
As a Claims Representative Associate, you'll be responsible for handling incoming medical claims ensuring a high level of customer service and maximizing productivity by processing claims accurately, the first time. You'll put your skills and talents to work as you review, research, and process medical claims. It's complex, detailed work. It's a fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment.
Responsibilities:
- Review and research incoming claims by navigating multiple computer systems and platforms and accurately captures the data/information necessary for processing (e.g. verify pricing, prior authorizations, applicable benefits)
- Ensures that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)
- Completes on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements.
- Learns and leverages new systems and training resources to help apply claims processes/procedures appropriately (e.g. on-line training classes, coaches/mentors)
- Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, and member satisfaction.
Requirements
- 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- 1 year of healthcare claims experience preferred
- An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
- Available to work 40 hours per week within the operating hours of the site
- Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Ability to remain focused and productive each day though tasks may be repetitive
- Authorization to work in the United States
Physical Requirements and Work Environment:
- Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
- Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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: 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: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class