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Claims Appeal Coordinator - La Palma, CA

UnitedHealth Group

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Job Details

Claims Appeal Coordinator - La Palma, CA(Job Number:706436)

AppleCare Medical Management Group.  The multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.


Responsible for researching, responding and resolving claims appeals, provider disputes, and adjustments. Will also be responsible to respond and adjust claims from health plan demands.


Primary Responsibilities:

  • Review and process provider disputes and appeals as established in the Claims Department Policies and Procedures

  • Respond to claims appeals and disputes in a timely manner

  • Track disputes and adjustments to monitor compliance

  • Serve as a resource to claims auditing when needed

  • To contribute to a fair and positive work environment by treating peers, superiors, subordinates, clients and vendor with professionalism and respect

  • Perform other duties as directed

Job Claims Appeals
Primary Location US-CA-LA PALMA
Other Location 
Organization AppleCare
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.

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