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　　The Administrative Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.

　　Primary Responsibilities:

　　Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims

　　Authorize the appropriate payment or refers claims to investigators for further review

　　Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary

　　Analyze and identify trends and provide reports as necessary

　　Consistently meet established productivity, schedule adherence, and quality standards

　　Recognize claims by determining claim type - HCFA, Hospital, UB, and/or RX

　　Identify more complicated claims and refer them to Senior Claim Processor or Supervisor

　　Calculate other insurance and re-pricing benefits

　　Work claims files to ensure the appropriate eligibility and provider records are matched to the claim

　　Updates and maintains claims tracking database

　　Perform related 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:

　　1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties

　　Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

　　Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

　　Office based position in our Las Vegas, NV office

　　Preferred Qualifications:

　　2+ years of data entry experience

　　1+ years of experience working with medical claims

　　1+ years of working in production based environment

　　Healthcare industry experience

　　Basic understanding of healthcare claims including ICD-10 and CPT codes

　　Proficiency with typing

　　Nevada Residents Only: The hourly range for Nevada residents is $16.00 to $23.94 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

　　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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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 .

　　OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.