12 days old

Claims Support Clerk - Fort Worth, TX - 941572

Fort Worth, TX 76102
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  • Job Code
    941572

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
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"The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.

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This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am 5:00pm. Our office is located at 300 Burnett Street, Fort Worth, TX.

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Primary Responsibilities:

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  • Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
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  • Authorize the appropriate payment or refers claims to investigators for further review.
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  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
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  • Analyze and identify trends and provide reports as necessary
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  • Consistently meet established productivity, schedule adherence, and quality standards
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  • Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX
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  • Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
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  • Calculate other insurance and re-pricing benefits
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  • Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
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  • Updates and maintains claims tracking database
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Youll 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.

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Required Qualifications:

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  • High School Diploma or GED (or higher)
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  • 1+ years of experience in an office setting performing data entry or typing
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
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Preferred Qualifications:

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  • 1+ years of experience working with medical claims
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  • 1+ years of working in production based environment
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  • Prior experience working with IDX software
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  • Ability to type 60+ WPM
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Physical Requirements and Work Environment:

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  • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
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  • Office environment
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SM

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Military & Veterans find your next mission:

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We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

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Learn how Teresa, a Senior Quality Analyst,works withmilitary veterans and ensures they receive the best benefits and experience possible.https://uhg.hr/vet

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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: claims, data entry, coding, medical coding, customer service representative, customer service, CSR, UnitedHealth Group, Optum,UnitedHealthcare, health care, healthcare, office, training class, advocate,hiring immediately, #RPO

Posted: 2021-07-13 Expires: 2021-08-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Claims Support Clerk - Fort Worth, TX - 941572

UnitedHealth Group
Fort Worth, TX 76102

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