UnitedHealth Group Employer Installation Representative - Las Vegas, NV in Las Vegas, Nevada
Energize your career with one of Healthcare’s fastest growing companies.
You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
The Employer Installations Representative performs employer benefit plan design coding to assigned accounts, including, but not limited to: structure building and revisions, and researching and resolving structure issues.
Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and / or source documents. May research installation issues and develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.
Perform generation of plan documents, including but not limited to, Summary Plan Descriptions (SPD), amendments, and Summary of Benefits & Coverage (SBC)
Use supporting documents (work orders, installation documents) to ensure our system is coded correctly and plan documents that are generated are accurate
Adhere to departmental guidelines and processes put in place for these tasks
Become familiar with current policies and procedures and other reference material
Provide feedback and explanation in a positive and professional manner
Work in a team environment while demonstrating individual accountability
Perform other duties as assigned
Candidate needs to have some claims experience and be able to read and automate benefit schedules
Extensive work experience within own function
Work is frequently completed without established procedures
May act as a resource for others
May coordinate others activities
High School Diploma / GED (or higher)
1+ years of data entry or data processing experience in an HMO / Indemnity insurance environment
Experience using Microsoft Excel and Microsoft Word to open, edit, and save documents
Experience using Microsoft Outlook for email and calendar management
Must be able to work a 5 day week, 8 hour shift, any time between office hours of operation
2+ years of claims processing experience
Experience using Microsoft Access to run queries and pull data
Physical Requirements and Work Environment:
Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer
Service center environment with moderate noise level due to representatives talking, computers, printers, and floor activity
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.
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.
Keywords: UHG, UnitedHealth Group, Claims, Claims Processing, Indemnity/HMO, Employer Installation, Research