UnitedHealth Group

Appeals Representative Associate - National Remote


Pay$16.00 - $27.31 / hour
LocationDallas/Texas
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2182172

      You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

      At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM

      The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.

      This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime.

      *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

      Primary Responsibilities:

      • Research and resolve written complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers.
      • Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions.
      • Analyze and identify trends for appeals and grievances.
      • Apply knowledge/skills to basic, repeated activities.
      • Respond to standard requests and solve routine problems by following established procedures.
      • Work with others as part of a team and have work reviewed by others.

      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) OR years of equivalent work experience
      • 1+ years of experience analyzing and solving customer problems OR 1+ years of work experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
      • Experience with Microsoft Word (create, edit, format documents) and Microsoft Excel (create, edit, format spreadsheets)
      • Ability to work an 8 hour shift during our normal business hours of 7:00am to 7:00pm CST, Monday-Friday

      Preferred Qualifications:

      • 2+ years of medical claims experience
      • Experience with Healthcare/Medicare Terminology
      • Managed Care and previous Appeals/Grievances experience

      Telecommuting Requirements:

      • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
      • Ability to keep all company sensitive documents secure (if applicable)
      • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

      California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $16.00 - $27.31.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives .

      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

      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.

      #RPO #YELLOW

  • About the company

      UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.

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