Clinical Appeals Reviewer - Telecommute in Pacific, Mountain, and Central Time Zones - Full-time / Part-time

Position Description:For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.Positions in this function are responsible for providing expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties issues, implications and decisions. Analyzes and identifies trends for appeals and grievances. This includes daily communication with senior level positions including RNs, social workers (BSW/MSW), dentists, chiropractors, physical therapists, etc.  Primary Responsibilities: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.Generally work is self-directed and not prescribed.

Required Qualifications:High School Diploma or GED Must be able to work 7:00 am - 4:00 pm MST or 6:00 am - 3:00 pm PST1+ year of experience working with Microsoft Office and PDF conversion1+ year of Customer Service experienceData entry experience entering large volumes of data into software systemsMust live in Central, Mountain or Pacific Time ZonesPreferred Qualifications:Some College (or higher)Healthcare Claims experience Experience with Appeals and GrievancesKnowledge of ICD-10/CPT coding Experience working in a Telecommute/Virtual environment Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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.SMDiversity 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.Keywords: UHG, United Healthcare, clinical, appeals, reviewer, telecommute