Re-Pricing Specialist - Oklahoma City, OK

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.UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards. Primary Responsibilities: Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims. Authorize the appropriate payment or refer claims to investigators for further review. Conduct data entry and re-work; analyze and identify trends and provide reports as necessary. Moderate work experience within own function. Some work is completed without established procedures. Basic tasks are completed without review by others. Supervision/guidance is required for higher level tasks.Qualifications: 6 months + experience in Re-pricing required. 6 months + experience with UB04, HCFA, ICD-9 coding, CPT coding and Revenue coding required. Experience in a medical background or health insurance background a plus. Experience with DRG or ACP a plus. Stop-loss knowledge a plus. Apply knowledge/skills to activities that often vary from day to day. Demonstrate a moderate level of knowledge and skills in own function. Requires little assistance with standard and non-standard requests. Solve routine problems on own. Work with supervisor to solve more complex problems. Prioritize and organize own work to meet agreed upon deadlines. Work with others as part of a team. High school education or equivalent experience. 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.