UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.
As a Lien Processing Specialist, you will handle new and existing cases. You will assign cases to create files and database IDs for reach case. You will investigate the details of each case, review documents, verify information and update electronic files. Communication with creditors or merchants may be required to gather additional information or clarify details.
This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6am - 6pm EST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work 3 days onsite and 2 days from home.
We offer on-the-job training. The hours of the training will be aligned with your schedule.
If you are within commutable distance to the office at 600 Airborne Pkwy, Cheektowaga, NY 14225., you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
Primary Responsibilities:
- Assist with escalated claims to resolve complex issues for team members and internal customers
- Support implementation of updates to the current procedures and assist with new system training/memory
- Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim
- Analyze and identify trends and provides reports as necessary
- Meet departmental production metrics
- This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will ensure timely processing of the member's claim.
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
- Must be 18 years of age or older
- 2+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using computers as the primary job tools
- 1+ years of experience processing medical, dental, prescription or mental health claims
- Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work any of our 8 hours shift during our normal business hours of 6:00am – 6:00pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.
Preferred Qualifications:
- Presently employed within UHC Operations & Experience. Those currently employed outside that unit will not be considered. (To verify, review your Sparq profile and the organization chart. Sparq Homepage , click “My Profile”, click “Organization Chart”. Look upward on the org chart to confirm that you report through Ops & Experience, and Mike Baker)
Telecommuting Requirements:
- Reside within commutable distance to the office within 60 miles of Buffalo, NY
- 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
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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