Appeals Representative – Work From Home Job Vacancy in UnitedHealth Group Colorado City, CO 81019 – Latest Jobs in Colorado City, CO 81019
Are you looking for a New Job or Looking for better opportunities?
We got a New Job Opening for
Full Details :
Company Name : UnitedHealth Group
Location : Colorado City, CO 81019
Position : Appeals Representative – Work From Home
Job Description : If you are located within AZ time, PST OR MST state, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Combine two of the fastest – growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making Healthcare data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.SM
Let’s talk about diplomacy. Let’s talk about accuracy. Let’s talk about how UnitedHealth Group became a Fortune 10 company leader in health care. We did it by working to become an undisputed leader in creating quality service and helping to improve the lives of millions. Now, here’s where you come in. You can build on your problem-solving skills by taking on responsibility for reviewing, researching, investigating and triaging claims that were denied to determine their correct status. You’ll drive the action and communicate with appropriate parties regarding appeals and grievance issues. In turn, we’ll provide you with the great training, support and opportunities you’d expect from a Fortune 10 company.
We offer 8 to 10 weeks of paid training. The hours during training will be 8:00am to 5:00pm, Monday to Friday. Training will be conducted virtually from your home.
This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at PST / MST / Arizona time zones only.
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Research and resolve written complaints submitted by consumers and physicians/providers
Ensure complaint has been categorized correctly
Obtain additional documentation required for case review
Review case to determine if review by clinician is required
Render decision for non-clinical complaints using sound, fact-based decision making
Complete necessary documentation of final appeals or grievance determination using appropriate templates
Communicate appeal or grievance information to members or providers and internal/external parties within the required timeframes
This is a challenging role with serious impact. You’ll need strong analytical skills and the ability to effectively interact with other departments to obtain original claims processing details. You’ll also need to effectively draft correspondence that explains the claim resolution/outcome as well as next steps/actions for the member.
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)
2+ years of health care industry experience and/or 2+ years of medical insurance experience
2+ years of experience appeals (writing responses)
Familiarity with appeal regulations, medical terminology, and coding
Familiarity with plan benefit, ERISA, Medicaid, and Medicare requirements
Telecommuting Requirements:
Reside within AZ time, PST OR MST states
Dedicated work area established that is separated from other living areas that provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
Bachelor’s Degree (or higher)
Coding Accreditations preferred (Certified Professional Coder, COC, CIC or RHIT, etc
Soft Skills:
Strong written communication skills including advanced skills in grammar and spelling
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.
Keywords: work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO
This post is listed Under Jobs in General Category
Disclaimer : Hugeshout works to publish latest job info only and is no where responsible for any errors. Users must Research on their own before joining any company