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Claims Clerk - Kingston, NY
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Kingston, NY Kingston, New York |
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.
The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
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.
Primary Responsibilities:
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.
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.
Primary Responsibilities:
- Assigns the Correct Provider ID (Doctor, Hospital or Other Healthcare provider) to Claims in preparation for Final Processing.
- Applies knowledge/skills to basic, repeated activities.
- Demonstrates minimum depth of knowledge and skills in own function.
- Responds to standard requests.
- Requires assistance in responding to non-standard requests.
- Solves routine problems by following established procedures.
- Others prioritize and set deadlines for employee.
- Works with others as part of a team.
Requirements
Requirements:
- High School Diploma/GED
- 1+
years of experience in a professional office setting using the telephone
and computer as the primary instruments to perform job duties - Ability
to multi-task, this includes ability to understand multiple products
and multiple levels of benefits within each product - Basic proficiency with computer and Windows PC
applications, which includes the ability to learn new and complex
computer system applications - Work stability (in one of the last 4 jobs at least 12 months)
Physical Requirements and Work Environment:
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
- Office environment
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.
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.
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