Appeals Coordinator (Bring us your medical terminology skills!)

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



PacifiCare Health Systems is now part of UnitedHealthcare, a UnitedHealth Group company. As one of the nation’s leading consumer health organizations, we are recognized by over 3 million health plan members for delivering first-to-market innovations as well as affordable high-quality programs. And, as part of UnitedHealthcare, we can offer you that rare combination of building a rewarding career with a healthy business while improving the lives of others.


 


Rapid recent growth in our Cypress office has highlighted our need for multiple Appeals Coordinators to start solid careers with our company. If you’re an outgoing professional who works well with others, you may be an ideal addition to our team. These positions offer lots of job variety and advancement potential in a fast-paced environment where you would not sit behind a desk all day.


 


Key responsibilities include:



Receiving inbound appeals cases and reviewing them to determine needed information


Retrieving the requested information through research and outreach


Contacting medical groups, physicians and/or members to collect the necessary data


Following up with various external personnel to facilitate the appeals process


Researching eligibility for members


Writing appeals letters and relaying appropriate cases to second-level review



Medical terminology familiarity is required for this role, and candidates must have solid organization and research skills. A background working with medical groups/HMOs is preferred. Customer service experience would be very helpful, and applicants who have prior experience working in a production environment would be well equipped for this position. PC proficiency is essential. If you fit this description, and you’re a motivated team player with excellent communication skills, we urge you to apply now.


 


UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.


 


If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!


 


Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.