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Clinical Appeals Reviewer – Remote

UnitedHealth Group

This is a Full-time position in Phoenix, AZ posted July 13, 2021.

For those who want to invent the future of health care, here’s your opportunity.

We’re going beyond basic care to health programs integrated across the entire continuum of care.

Join us and help people live healthier lives while doing your life’s best work.SMThis position is full-time (40 hours/week) Monday
– Friday.

Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (9:00am-6:00pm CST).

It may be necessary, given the business need, to work occasional overtime.

This is a remote position and training will also be completed remotely.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S.

as you take on some tough challenges.* All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Primary Responsibilities:* Pull medical cases from a queue* Research these medical cases and create write up summaries* Pass medical case write up summaries on to nurses* Receive decisions on whether a case is approved or denied* Relay information to the members and document your work* Other duties as assignedYou’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)* 1+ years of experience working with Insurance Clinical Appeals* Previous experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), Microsoft Excel (ability to create, edit, save, and send spreadsheets) and Microsoft PowerPoint (ability to open, edit, save and send documents)* Ability to navigate a PC to open applications, send emails, and conduct data entry* Ability to work any of our 8 hour shift schedules during our normal business hours of (9:00am-6:00pm CST).

It may be necessary, given the business need, to work occasional overtime.* 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* If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener.

When in a UnitedHealth Group building, employees are required to wear a mask in common areas.

In addition, employees must comply with any state and local masking ordersPreferred Qualifications:* Insurance Claims experienceUnitedHealth Group is an essential business.

The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place.

We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends.

At this time, 90% of our non
– clinical workforce transitioned to a work at home (remote) status.

We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.htmlCareers with UnitedHealthcare.

Let’s talk about opportunity.

Start with a Fortune 10 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution.

Now, add your energy, your passion for excellence, your near
– obsession with driving change for the better.

Get the picture?

UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they’re found across the globe.

We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none.

This is no small opportunity.

It’s where you can do your life’s best work.SMColorado Residents Only: The salary/hourly range for Colorado residents is $17.12 to 30.34.

Pay is based on several factors including but not limited to education, work experience, certifications, etc.

As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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: Clinical Appeals, Appeals, Claims, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo