Professional Claims Examiner - Ontario, CA (882470)

UnitedHealth Group International

Job Description

Required Qualifications:

  • An education level of at least a high school diploma or GED

  • 1+ years’ experience as a Medical Claims Examiner working on “Professional” claims
  • Solid experience with ICD9/10
  • Knowledge of DOFR

    and Provider contract interpretation

  • Proficient experience with Word and

    Excel

Preferred Qualifications:

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

  • Prior Medicare, HMO experience
  • Working knowledge of Medical Terminology and CPT4
  • Excellent Data Entry skills

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(sm).

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

For more information on our Internal Job Posting Policy, click here.


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.

Job Keywords: Medical or Healthcare Claims examiner, Medicare, HMO, provider, ICD9, ICD10, DOFR, CPT Coding

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