Claim Processing Jobs Remote Work from Home | UnitedHealthcare Jobs Apply Now 2022

By | April 13, 2022

Job Responsibilities : Claims Adjuster – Remote

Salary : $18 per hour

Company : UnitedHealthcare

Location : Remote US

Educational requirements : High School

Primary Responsibilities:

  • Review and research incoming claims by navigating multiple computer systems and platforms and accurately capturing the data / information necessary for processing (e.g. verify pricing prior authorizations applicable benefits)
  • Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures grievance procedures benefit plan documents.)
  • Complete daily all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements.
  • Communicate and collaborate with members and providers to resolve claims errors/issues using clear simple language to ensure understanding.
  • Learn and leverages new systems and training resources to help apply claims processes / procedures appropriately (e.g. on – line training classes coaches / mentors)

Required Qualifications:

  • High School Diploma / GED (or higher)
  • 1+ years Customer Service Representative (CSR) experience or 1+ years experience in an office setting call center setting or phone support role
  • Familiarity with computer and Windows PC applications which includes the ability to learn new and complex computer system applications

Preferred Qualifications:

  • Previous experience with medical claims processing preferred
  • Familiar with small group or self – funded product designs
  • Understanding of UHOPS processing system

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