Claims Representative

UnitedHealth Group•Tampa, FL

8h•$18 - $32•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 Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Claims Representative / Insight Analyst Assistant primary duties may include but are not limited to initiating and managing tasks associated with case workflow and adhering to protected health information rules and regulations on behalf of our clients.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of customer service experience
Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
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
Strong verbal and written communication
Requires a commitment to confidentiality, privacy, and professionalism
Ability to work independently and as a team member
Self-motivation, flexible, strong time management, organizational and analytical skills
Must be detail oriented and possess the ability to multi-task
Experience working in a fast-paced professional environment
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

1+ years of experience in healthcare related OR healthcare claim industry

Responsibilities

Process medical record submissions through various avenues
Manages cases from the time of opening to the time medical records are received including verification and management of standard turn-around times on cases, or the case is closed for NMR
Acts as a Subject Matter Expert (SME) and provides exceptional communications with Providers
Requires an individual to maintain the ability to work in an environment with PHI
Understands and adheres to HIPPA privacy requirements
Other duties as assigned