UHN Adjustment and Call Representative - National Remote

Job title: UHN Adjustment and Call Representative - National Remote in Wausau, WI at UnitedHealth Group

Company: UnitedHealth Group

Job description: At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of 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 to start Caring. Connecting. Growing together.The UHN Adjustment and Call Representative is responsible for answering Incoming calls from Providers while ensuring a high level of Customer Service and maximizing productivity on claim adjustments.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:

• Provide the very best Customer Service to callers (medical providers)


• Resolve, educate and respond to medical provider inquiries in regards to network pricing or participation issues


• Adjust medical claims according to specified procedures and standards, meeting all production and quality standards


• Initiate and complete the dispute resolution intake form


• Review and complete adjustment project details for previously processed claims in regards to network discounts and claim edits


• Prioritize and organize own work to meet agreed upon deadlines

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays


• Medical Plan options along with participation in a Health Spending Account or a Health Saving account


• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage


• 401(k) Savings Plan, Employee Stock Purchase Plan


• Education Reimbursement


• Employee Discounts


• Employee Assistance Program


• Employee Referral Bonus Program


• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)


• More information can be downloaded at:

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 higher)


• 1+ years of healthcare customer service experience


• Intermediate level of proficiency with processing adjustments using UMR CPS (Claims Processing System)


• Intermediate level of proficiency with Microsoft Excel to create, update and sort spreadsheets


• Ability to successfully navigate computer systems and software


• Ability to read and interpret directions and apply mathematical calculations to claim adjustments

Preferred Qualifications:

• 1+ years of experience taking incoming calls with VCC (virtual call center)


• Previous UHC network exposure or experience

Soft Skills:

• Strong interpersonal skills at both an individual and team level


• Strong written, verbal and business communication skills


• Strong research and analytical skills

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.For more information on our Internal Job Posting Policy, .The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. 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.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.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.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.#RPO #GREEN

Expected salary: $16.88 - 33.22 per hour

Location: Wausau, WI

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