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Clinical Appeals Reviewer

UnitedHealth Group

Clinical Appeals Reviewer

Kenmore, WA
Full Time
Paid
  • Responsibilities

    Clinical Appeals Reviewer UnitedHealth Group 11,729 reviews - Seattle, WA 98127 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. 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. Primary Responsibilities: * Pull medical cases from a queue * Research these medical cases and create write up summaries * Pass medical case write up summaries on to nurses * Receive decisions on whether a case is approved or denied * Relay information to the members and document your work * Other duties as assigned Required Qualifications: * High School Diploma / GED (or higher) * 1+ years of experience working with Insurance Clinical Appeals

    • Previous experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents), and Microsoft Excel (ability to create, edit, save, and send spreadsheets) * Ability to navigate a PC to open applications, send emails, and conduct data entry * Must live in West Coast: California, Nevada, Oregon, Washington Preferred Qualifications: * Insurance Claims experience * Experience with E&I platform * Previous SCIIDRS, IDRS, ECAA, ETS, IQ, systems experience Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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: 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. 1 day ago - save job - original job Apply On Company Site Other jobs you may like Clinic Patient Services Specialist UW Medicine - Northwest Hospital & Medical Center - Seattle, WA UW Medicine - 20 hours ago Operations Field Manager Suburban Propane - Seattle, WA 21 days ago Clinical Reviewer - Rheumatology - Remote National Medical Reviews Inc - Seattle, WA 6 days ago Easily apply Patient Flow Coordinator- Orthopaedics Virginia Mason Medical Center - Seattle, WA 2 days ago Clinical Research Associate II Premier Research Group Limited - Seattle, WA 20 hours ago * Clinical Appeal Reviewer jobs in Seattle, WA * Jobs at UnitedHealth Group in Seattle, WA * Clinical Appeal Reviewer salaries in Seattle, WA UnitedHealth Group UnitedHealth Group 11,729 reviews UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume
  • Industry
    Financial Services