Healthcare Appeals Resolution Specialist
4 weeks ago
At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As an Appeals Representative Associate, you'll play a critical role in ensuring that our members receive the care they need, while also driving business results.
Key Responsibilities:
- Responsible for reviewing and resolving appeals in a timely and accurate manner, ensuring that individual and business metrics are met.
- Conducts research in claims history and coordinates with business partners to make informed decisions.
- Reads and comprehends incoming appeals and supporting documentation, as well as written operating procedural steps.
- Complies with company policies and procedures, as well as any directives related to flexibility of work benefits and/or work environment.
Requirements:
- Graduation from a recognized institution (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply).
- Proven good communication skills, both written and verbal.
- Proven good typing speed (English) and accuracy.
- Proven result-oriented and goal-driven.
- Ready to work in late night shifts (6 PM & 9 PM login) and to work on weekends.
- Work from Office and rotational shifts.
Preferred Qualification:
- US Healthcare experience is an advantage.
We're committed to making a positive impact on the communities we serve, and we're looking for talented individuals like you to join our team. If you're passionate about healthcare and want to make a difference, we encourage you to apply.
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