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Appeals Supervisor - Oldsmar, FL or Trumbull, CT
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Oldsmar, FL Oldsmar, Florida |
About this job
Position Description:
You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.
This position is demanding but rewarding as it requires you to be a self-starter with strong leadership and multi-tasking skills as well as to be improvement and deadline driven.
Primary Responsibilities:
- Run reports to follow up with staff to prioritize workload
- Maintain time and attendance functions
- Preview outgoing correspondence for content
- Perform QA function on department work product
- Review individual and team productivity and quality matrix
- Act as a resource to staff
- Assist in decision-making on A&G issues
- Performance manage individuals for optimal performance
- Monitor staff and inventory to ensure compliance with procedures and internal regulatory time frames.
Requirements
Requirements:
- High School Diploma/ GED
- 2+ years Appeals and Grievance experience. Should have an understanding of the A&G process. Should know what an appeal is.
- 2+ years experience with Medicare
- Intermediate proficiency with Microsoft Office (Word, Excel and Outlook) experience. Word is used for simple document creation and storage. Should be able enter data into Excel and sort/ filter that data as needed for reporting purposes. Outlook is used daily as an email and calendaring tool.
- 1+ years in a Team Lead and/ or Supervisor role. Should be comfortable giving direction, mentoring and production tracking.
Assets:
- Claims experience
- IDT, GPS, iLEAD, or similar system
- Medicare Part C
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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 where ever 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.
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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