Claims Clerk - National Remote

UnitedHealth Group; Dallas (TX); Remote; USD 35,000 - 55,000; Full time

Job summary

Join a leading health benefit provider as a Claims Clerk, where your contributions will directly impact the quality of care for millions. This full-time role offers flexibility to telecommute from anywhere in the U.S. You'll be responsible for processing claims, managing client communications, and ensuring accuracy in all tasks. With opportunities for career advancement and a supportive work environment, this position is perfect for those looking to grow in the healthcare industry. Be part of a dynamic team that values your expertise and dedication to excellence.

Qualifications

• Experience in claims processing or customer service is preferred.
• Strong attention to detail and organizational skills are essential.

Responsibilities

• Set up new claims daily and process claims efficiently.
• Participate in phone rotation and handle client inquiries.

Skills

Claims Processing

Customer Service

Attention to Detail

Data Entry

Education

High School Diploma

Associate Degree

Job description

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple... and it's that rewarding.

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 to be empowered to achieve new levels of excellence and make a profound, personal impact as you contribute to innovations in a vital and complex system. Opportunities for career development and advancement within UMR are endless due to our record-breaking growth.

Regardless of your role at UMR, the support you feel will enable you to perform with energy, quality, and confidence. Take the first step toward a fast-paced, diversified career.

Position: Claims Clerk

The Claims Clerk is responsible for providing expertise or general claims support to teams.

This is a full-time position (40 hours/week), Monday - Friday. Flexibility to work any of our 8-hour shift schedules during business hours (8:00 AM - 5:00 PM EST) is required. Overtime, weekends, and holidays may be necessary based on business needs.

You will have the flexibility to telecommute* from anywhere within the U.S. to handle challenging tasks.

Primary Responsibilities:

1. Set up new claims daily from clients
2. Participate in phone rotation for other offices
3. Process claims, including indexing and distributing daily mail
4. Process denied invoices as tasked by adjusters
5. Access and distribute faxes
6. Prepare eligibility letters for specific claims
7. Prepare weekly check pull lists
8. Issue auto pay reports twice a week to adjusters
9. Prepare