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in Oldsmar, FL

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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
  • Working Hours M-F 8:30a-5p
  • 2+ years of Appeals and Grievance experience. Should have
    an understanding of the A&G process. Should know what an appeal is.
  • 2+ years of 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, 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.