UnitedHealth Group Senior Claims Examiner - San Antonio, TX in San Antonio, Texas
This is an opportunity that’s all about where you've been.
Because on the team at UnitedHealth Group, your potential and your impact can be career changing.
No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives.
This is where you come in.
We'll look for your experience and expertise to help keep our service levels and accuracy extremely high.
We'll also look for your ideas on how to constantly evolve our claims processes.
We'll back you with the great training, support and opportunities you'd expect from a Fortune 6 leader.
Primary Responsibilities: Assist with escalated claims to resolve complex issues for team members and internal customers Support implementation of updates to the current procedures and assist with new system training/mentoring Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim Analyze and identify trends and provides reports as necessary This is a challenging role that takes an ability to thoroughly review, analyze and research complex 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 ensure timely processing of the member's claim. Required Qualifications: 3+ year of experience in a related environment (i.e.
office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools 1+ year experience processing medical, dental, prescription or mental health claims An education level of at least a high school diploma or GED Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Making claims a positive experience for our members can drive your sense of impact and purpose.
Join us as we improve the lives of millions. Learn more about how you can start doing your life’s best work.(sm) 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. UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment. Key words: Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, San Antonio, TX, Texas 6213c537-e5a8-488f-9567-57b305029521
Senior Claims Examiner - San Antonio, TX Texas-San Antonio 766164