UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Claims Supervisor - Phoenix, AZ-314689
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Position Description:
Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
Primary Responsibilities:
- Authorize the appropriate payment or refers claims to investigators for further review
- Conduct data entry and re-work; analyze and identify trends and provide reports as necessary
- Coordinate, supervise and is accountable for the daily activities of business support, technical or production team or unit
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. Qualifications Qualifications:
- 2 years of healthcare claims processing experience is required
- 2 years of team lead or supervisory experience is required
- Proficiency in MS Word and Excel is required; PowerPoint, Access, and Outlook are preferred
- Experience managing in a production environment and having HR responsibilities is preferred
- Expert knowledge of health claim processes and products, root cause development and claim paying systems is preferred
- Identifies and resolves operational problems using defined processes, expertise and judgment
- CPT and ICD-9 coding knowledge is preferred
- Decisions are guided by policies, procedures and business plan
- Product, service or process decisions are most likely to impact individual employees and/or customers (internal or external)
- Undergraduate degree or equivalent experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
