Senior Claims Representative - National Remote

You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.  The Senior Claims Representative is responsible for the follow up of outstanding Accounts/Receivables of all payers and/or including self-pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability and includes the ability to interpret and rectify denials.This position is full-time. Employees are required to have flexibility to work during our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.We offer 4 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Primary Responsibilities:

Responsible for insurance denials, appeals and timely filing guidelines

Make appropriate decisions on accounts to be worked to maximize reimbursement

Meet productivity standards as outlined in client metrics

Identify any issues or trends and bring them to the attention of management team

Work on special projects as assigned

Train others and quality assurance work of others as assigned

Other duties as assigned.

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

2+ years of experience with healthcare insurance denials and appeals

2+ years of Accounts/Receivable experience in a hospital, clinic, primary care, doctor’s office, or related healthcare environment.

Experience with Microsoft Office Products

Ability to work 08:00AM – 05:00PM EST.

Must be 18 years of age OR older

Preferred Qualifications:

Working knowledge of hospital Electronic Health Record (EHR) systems (including but not limited to Epic, Cerner, and/or Meditech)

Bilingual fluency in English/Spanish

Ability to navigate payer portals and internet application

Working knowledge of insurance plans and coordination of benefits (COB)

Read and understand explanation of benefits (EOB), and take appropriate next steps toward resolution

Telecommuting Requirements:

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 UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $19.47 - $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.Application Deadline:  This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.#RPO