Claims Representative Associate

Change Healthcare•Dallas, TX

59d•$16 - $28•Remote

About The Position

This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 4:30pm Central. It may be necessary, given the business need, to work occasional overtime or weekends. We offer 10-12 weeks of virtual classroom training. The hours during training will be 7:30am to 4:00pm CST, Monday - Friday. Training will be conducted virtually from your home. Primary Responsibilities Provide expertise or general claims support by reviewing, researching, and processing claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research behavioral health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma / GED or equivalent work experience
Must be 18 years of age OR older
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Ability to work our normal business hours of 8:00am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime or weekends
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Nice To Haves

1+ years of experience processing medical, dental, prescription or mental health claims
1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

Responsibilities

Provide expertise or general claims support by reviewing, researching, and processing claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards

Benefits

In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

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