Remote Clinical Admin & Claims Coordinator

Texas Health Institute; Dallas, Northern (TX, KY); Hybrid; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group is seeking a remote Healthcare Claims Specialist to support clinical staff with documentation and triage for claims processing. The role offers full-time hours across standard business shifts from 7:00 am to 5:00 pm local time, with potential overtime as needed.

Training hours are 8:00 am–5:00 pm CST, Monday through Friday. The position requires at least 2 years in a healthcare setting, familiarity with medical terminology, and proficiency in Word, Excel, and Outlook.

Qualifications

• High School Diploma or GED or equivalent work experience.
• Must be 18 years of age or older.
• 2+ years of experience in a health care setting / industry.
• Familiarity with medical terminology.
• Experience with medical claims processing or research.
• Experience with Microsoft Word, Excel, and Outlook.
• Ability to work full-time across 8-hour shifts (7:00 am–5:00 pm local time); occasional overtime.

Responsibilities

• Review, research and assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review.
• Process member claims efficiently and thoroughly.
• Meet productivity, schedule adherence, and quality standards while maintaining attendance.
• Work with team to solve complex problems.
• Prioritize and multi-task in a team oriented environment.
• Other duties as assigned by manager/director.

Skills

Healthcare claims processing

Medical terminology

MS Word

MS Excel

MS Outlook

Research skills

Education

High School Diploma or GED

Tools

CPS claims platform

ICD-10 & CPT codes

Job description

UnitedHealth Group is seeking a remote Healthcare Claims Specialist to support clinical staff with documentation and triage for claims processing. The role offers full-time hours across standard business shifts from 7:00 am to 5:00 pm local time, with potential overtime as needed.

Training hours are 8:00 am–5:00 pm CST, Monday through Friday. The position requires at least 2 years in a healthcare setting, familiarity with medical terminology, and proficiency in Word, Excel, and Outlook.