Claims Data Entry

This position is Onsite. Our office is located at 2720 N Tenaya Way, Las Vegas, NV 89128.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

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

This position is full time (40hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 2:30pm PST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2720 N Tenaya Way, Las Vegas, NV 89128.

We offer weeks of paid training. Training will be conducted on site during normal hours. The hours during training will be during your normally scheduled shift.

Primary Responsibilities:

• Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
• Authorize the appropriate payment or refers claims to investigators for further review.
• Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
• Analyze and identify trends and provide reports as necessary
• Consistently meet established productivity, schedule adherence, and quality standards
• Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX
• Identify more complicated claims and refer them to as a Data Entry Lead or Manager
• Work claims files to ensure the appropriate eligibility and provider records are matched to the claim

You'll 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.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
• 2+ years of data entry experience
• Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Basic understanding of healthcare claims including ICD-9 and CPT codes
• Must reside within a reasonable commuting distance (typically within 30-60 minutes of travel time) of our office at 2720 N Tenaya Way, Las Vegas, NV 89128.
• Onsite work at this location 2720 N Tenaya Way, Las Vegas, NV 89128 is a mandatory requirement for the role.
• Ability to work (40 hours/week) Monday - Friday 6:00am - 2:30pm PST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• 1+ years of experience working with medical claims
• 1+ years of working in production based environment
• Type 60+ WPM

Soft Skills:

• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will from $16.00 - $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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