Claims Representative - Norristown, PA

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.Primary Responsibilities:

Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Authorize appropriate payment or refer claims to investigators for further review
Analyze and identify trends and provides reports as necessary
Consistently meet established productivity, schedule adherence, and quality standards
Provide excellent customer service
Primary role will be to process Medical Bills in accordance with Internal Departmental Demands and Goals as set forth by our Client needs
 

Requirements:

High School Diploma or GED
1+ years of medical terminology experience
1+ years of ICD-9 and CPT coding experience

Assets:

1+ years of healthcare insurance experience
1+ years of customer service experience

Soft Skills:

Professional demeanor
Works well in a group setting and individually
Team player
Physical Requirements and Work Environment:

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



OptumRx is
an empowering place for people with the flexibility to help create change.
Innovation is part of the job description. And passion for improving the lives
of our customers is a motivating factor in everything we do.

 

If
you're ready to talk about groundbreaking interactions, let's talk about what
happens when a firm that touches millions of lives decides to gather results
from millions of prescriptions every month and analyze their impact. Let's talk
about smart, motivated teams. Let's talk about more effective and affordable
healthcare solutions. This is caring. This is great chemistry. This is the way
to make a difference. We're doing all this, and more, through a greater
dedication to our shared values of integrity, compassion, relationships,
innovation and performance.  Join us and
start doing your life’s best work.SMDiversity 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, customer service, ICD-9, CPT, coding, insurance, healthcare, United Healthcare