Employee
MD - Frederick/Hagerstown
NOT PROVIDED
Full Time
Customer Service and Call Center
NOT PROVIDED
Entry Level
UnitedHealth Group
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix. We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services. As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group. Position Description: In this position you will investigate, recover and resolve all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. Primary Responsibilities: Initiate telephone calls to members, providers and other insurance companies to gather coordination of benefits data
Investigate and pursue recoveries and payables on subrogation claims and file management
Process recovery on claims
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
May also conduct contestable investigations to review medical history as well as monitor large claims, including transplant cases
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications: High school education or GED required
1+ years experience MS Office (Word and Excel) is required
1+ year customer service experience is required
1+ year work experience required; preferably in the healthcare industry
1+ year typing experience required
1 year experience in telemarketing or phone experience is preferred
Prior Coordination of Benefits (COB) or related experience preferred
Experience in a call center environment preferred
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Click here to apply