Claims Representative- $500 Sign-On Bonus - San Juan, PR - 2027089
Avella
San Juan
hace 3 días

Primary Responsibilities :

  • Authorizes the appropriate payment or refers claims to investigators for further review
  • Conducts data entry and re-work as required
  • Responsible for handling issues within turnaround standards
  • Process rework issues
  • Ability to handle most claim types / cases / issues that are submitted to the team you are supporting
  • Ability handle escalations as needed
  • Ability to work multiple functions and applications in a day as needed
  • Communicate any changes in trending of inventory, volumes, and quality remediation
  • Complete required individual development courses / training
  • Meet and maintain minimum quality and productivity standards
  • ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

    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 or higher
  • 1+ years of experience in a production environment
  • Proficient in MS Office with strong computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power Point)
  • Proficient in verbal and written English skills
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
  • Preferred Qualifications :

  • Experience in medical billing or claims
  • Healthcare Experience
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