UnitedHealth Group

If you are located within Forest St. Marlborough, MA , you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 10 company leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we’ll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you’d expect from a Fortune 10 company.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of an 8-hour shift schedules between (8:00am – 6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 200 Forest St. Marlborough, MA 01752.

All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

Process preauthorizations/predeterminations for all contracted insurances when appropriate
Interact with clients to obtain medical records that will support the services being ordered
Provide contracted insurance the records, CPT and ICD10 codes to determine medical necessity
Follow-up with clients when necessary, so filing limits to perform a preauthorization aren’t missed
Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function

What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So, the bar is high for accuracy, communications style and effectiveness. Also, you’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.

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) OR equivalent years of working experience

Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications

Able to work a 40-hour schedule within the operating hours of the site

Preferred Qualifications:

1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Previous experience in billing or collections
Work within one hour commute from office

Telecommuting Requirements:

Reside within Forest St. Marlborough, MA

Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

Ability to multi-task and to understand multiple products and multiple levels of benefits within each product

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people’s lives. This is where it’s happening. This is where you’ll help solve the problems that have never been solved. We’re freeing information so it can be used safely and securely wherever it’s needed. We’re creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM

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.

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