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Onsite Senior Appeals Representative - Seattle, WA - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Seattle, WA Seattle, Washington |
About this job
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
Primary Responsibilities:
- Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.
- Analyze and identify trends and provides reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Provide excellent customer service
- College degree preferred
- Medicaid experience preferred
- 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.
- Extensive work experience within own function.
- Work is frequently completed without established procedures.
- Works independently.
- May act as a resource for others.
- May coordinate others activities.
Requirements
- High School Diploma/GED
- Intermediate proficiency with MS Excel
- Advanced proficiency with MS Word
- Must be within commutable distance to Seattle, WA site
Assets:
- College degree
- 4+years of experience analyzing and solving
appeals and grievances in an office setting environment using the
telephone and computer as the primary instruments to perform job duties - Medicaid experience
- Good phone skills, ability to deal with sometimes angry beneficiaries
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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