Conditional Payment Analyst - Tampa, FL - Full-time / Part-time

Position Description: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.(sm) Responsible for all aspects of assigned cases for analyzing and appeal/dispute process of conditional payments.   Primary Responsibilities:  Responsible for all conditional payment analyzing for Medicare, Advantage Plans, Medicaid for liability and workers’ compensation.Responsible for all appeals and disputes on conditional payments when requested by client.Serve as the liaison between Helios Settlement Solutions and CRC/BCRC/CMS/WCRC/MAPS/Medicaid.Performs follow up for final settlement documents and distributes to the lead contractor once received. Works directly with legal staff for final demands or appeals process.Processes all mail related to appeals and disputes from the BCRC/CRC.Manages the required paperwork such as Proof of Representation formsWork directly in the BCRC web portal and MedicareConnect PortalDistributes the status responses that the BCRC/CRC provides back.Provides status updates to client regarding conditional payment issues.Responsible for handling all phone calls, e-mails and faxes on assigned cases.  Participates on client conference calls and trains new associates within the conditional payment department as needed.Works with Management on special projects as necessary.Performs other job functions as assigned by management.

Requirements:Associates Degree or High School Diploma/GED with 5+ years equivalent experience3+ years of insurance, legal or claims handling experienceAbility to create and edit professional documents in MS WordAbility to create and edit spreadsheets in MS ExcelAbility to manage one's own time and work with a teamAbility to work in a fast paced environment Assets:Bachelor’s degreeMedical, paralegal background or prior lien negotiation experiencePrevious Medicare experiencePrevious medical claims appeals experience  Soft Skills: Must have strong organizational skills and be detail orientedStrong written and verbal communication skillsAnalytical and problem solving skills Physical Requirements and Work Environment:Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouseOffice environmentUnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.