Sign In
 [New User? Sign Up]
Mobile Version

Appeals Representative Associate - Norristown, PA

UnitedHealth Group


Location:
Norristown, PA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1781826
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details


Appeals Representative Associate - Norristown, PA(Job Number:728673)
Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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.

Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians / providers. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

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
  • Ability to multi-task is helpful
  • Limited work experience
  • Works on simple tasks using established procedures
  • Depends on others for guidance
  • Work is typically reviewed by others

Job Claims Appeals
Primary Location US-PA-Norristown
Other Location 
Organization OptumRx Workers Comp
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Powered By

Featured Jobs[ View All ]

Featured Employers [ View All ]