UnitedHealth Group
Appeals & Grievances Coordinator - Remote in NM
This job is now closed
Job Description
- Req#: 2211835
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay with opportunities for bonuses
- Comprehensive benefits package including health insurance and retirement plans
- Clear path for career advancement and growth within the organization
- Ability to work remotely from anywhere within the state of New Mexico
- Supportive and collaborative work environment
- Chance to make a positive impact on member satisfaction and healthcare outcomes
What to Expect (Job Responsibilities):
- Analyze and research the processing of services, procedures, and authorizations for appeals and grievances
- Obtain and review relevant medical records for appeals and grievances
- Manage appeals and grievances within the UHC Turquoise Care Population
- Serve as a liaison with regulatory agencies regarding member grievances and appeals
- Assist with validation of monthly/quarterly State appeal and grievance reporting
What is Required (Qualifications):
- 2+ years of experience with appeals, grievances, and member complaints
- Ability to compose written correspondence free of grammatical errors
- Client-facing experience or customer service background
- Residency in the state of New Mexico
- Ability to travel up to 10% throughout the state of New Mexico
How to Stand Out (Preferred Qualifications):
- Experience with Medicaid and managed care
- Experience working with state partners
- Health plan experience
- Experience gathering documentation and presenting case facts at state fair hearings
#HealthcareServices #ClientCare #RemoteWorkOpportunity #CareerAdvancement #CompetitivePay
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.
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