Location: Clearwater, FL
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 and start doing your life’s best work. SM This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours ( Flexible working hours after ramp).
It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. All Telecommuters will be required to adhere to United Health Group’s Telecommuter Policy. Primary Responsibilities:
Update claim information based on research and communication from member or provider Complete necessary adjustments to claims and ensure the proper benefits are applied to each claim by using the appropriate processes and procedures (e.
g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates) Communicate extensively with members and providers regarding adjustments to resolve claims errors/issues, using clear, simple language to ensure understanding Learn and leverage new systems and training resources to help apply claims processes/procedures This is a challenging role with serious impact. You’ll
be providing a high level of support and subject matter expertise within a fast paced, intense and high volume claims operation where accuracy and quality are essential.
Multitasking in this role is required to conduct data entry and rework, analyzing and identifying trends as well as completing reports daily. 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 6+ months of claim processing experience or medical or insurance experience Claim processing experience in Facets (CSP Platform) Demonstrated ability in using computer and Windows 365 applications, which includes the ability to learn new applications Ability to full-time Monday - Friday.
Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours ( Flexible working hours after ramp). It may be necessary, given the business need, to work occasional overtime. Must be 18 years of age or older Preferred Qualifications : 1+ years of experience of Medicaid and Medicare policies and regulations 2+ years of experience processing original claims or reworks Experience working with Microsoft Teams Experience working with Microsoft Outlook Experience working with Microsoft Power Point Microsoft Excel ( sorting data, basic formulas, v-lookup, and pivot tables) Soft Skills: Ability to compose grammatically correct correspondence that translates medical and insurance expressions into simple terms that members can easily understand Results-oriented Telecommuting Requirements: Reside within the state of Louisiana Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a United Health Group approved high-speed internet connection or leverage an existing high-speed internet service. At United Health 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, interactionuality, 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. Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
United Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #YELLOWFor more details: jobs-search. org/information-technology_clearwater-c427743/claims-adjustment-representative-remote-in-louisiana-clearwater_i1971951398
and key deliverables to peers and executive level stakeholders Write clean, efficient, and maintainable HTML, CSS, and Java Script code within Web Flow platform and apply/enforce accessibility standards to all work Proficient in actively using Finsweet tools, best practices, and using client-first coding methodology ( source ) Identify and resolve bugs, issues, or inconsistencies in the design or functionality via the website or mobile sites Conduct thorough testing of websites to ensure cross-browser compatibility, responsiveness, and optimal performance Manage, maintain and create multi types of pages, while managing multiple web development projects simultaneously, ensuring timely delivery
and adherence to project timelines and page optimization Continue to establish and promote design guidelines, best practices, and brand standards Other duties as assigned QUALIFICATIONS: BS in Computer Science, Web Development, or a related field Must be proficient in Responsive Design, Photoshop, Illustrator, Webflow Platform, HTML/CSS, Basic Javascript, or other visual design and wire-framing tools Demonstrable graphic design skills with strong portfolio Solid experience in creating wireframes, storyboards, user flows, process flows, and site maps Excellent visual design skills with sensitivity to user-system interaction Proficient in coding in REM units (not PX) Ability to solve problems creatively
and effectively A solid understanding of how web applications work including security, session management, and best development practices Hands-on experience with network diagnostics, network analytics tools Aggressive problem diagnosis and creative problem-solving skills Strong organizational skills with a keen attention to detail and ability to juggle multiple tasks within the constraints of timelines and budgets with business acumen Ability to work and thrive in a fast-paced environment, learn rapidly and master diverse web technologies and techniques.
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