The job below is no longer available.

You might also like

in Southfield, MI

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Southfield, MI
Southfield, Michigan

About this job

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



Our Customer Service teams have a serious responsibility to make every contact
informative, productive, positive, and memorable for what it says about how
much we care.




Primary Responsibilities:


  • Apply knowledge/skills to a range of moderately complex
    activities. 
  • Demonstrate great depth of knowledge/skills in own
    function.
  • Sometimes act as a technical resource to others in own
    function.
  • Proactively identify solutions to non-standard
    requests. 
  • Solve moderately complex problems on own.
  • Work with team to solve complex problems.
  • Plan, prioritize, organize, and complete work to meet
    established objectives.
  • May coordinate work of other team members. 
  • Experience with MI Facets is a plus.
  • Understanding MI Medicaid policy is a plus
  • Must act in a professional manner as contact will occur
    with providers (to request medical records)
  • Must be well organized.
  • Extensive work experience within own function.
  • Work is frequently completed without established
    procedures.
  • Work independently.
  • May act as a resource for others. 
  • May coordinate others' activities.

Requirements

Required Qualifications:


  • High School Diploma/GED.
  • 2+ years of previous experience in the Healthcare
    Industry (preferably within Claims, Auditing, or Provider Support).
  • 1+ year experience with Claims Processing systems (i.e.
    Facets, Cosmos, UNET, etc.).
  • Previous experience conducting Research and Analysis with
    Claims and Recovery.
  • 2+ years of experience with Microsoft
    Word and Excel.
  • 1+ years of experience with Microsoft Access.


Preferred Qualifications:


  • Bachelor's Degree.
  • Previous experience with Facets and MACESS.
  • Knowledge of CSHCS.
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to 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.