Independent Dispute Resolutions Specialist

About the position This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm EST. It may be necessary, given the business need, to work occasional overtime.

Responsibilities

• Work with ClearHealth’s Sr Director of IDR, IDR paralegals and IDR managers to assist in the eligibility review of provider-filed disputes and the uploading of arbitration briefs to CMS in support of the No Surprises Act legislation.
• Developing plans and programs to support continuous quality improvement using applicable tools
• Act as an essential contributor to the IDR Team throughout the IDR process.
• Work independently in a fast-paced environment while following defined standards and procedures.
• Effectively communicate with internal stakeholders, health care providers, clients, CMS, and independent arbiters.

Requirements

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• Experience in a law firm or legal/litigation setting, claims processing or review, or medical billing
• Experience with PC based software programs and automated database management systems; Microsoft Word (create and edit documents), Microsoft Excel (create, edit, sort, pivot spreadsheets), Microsoft Outlook (email and calendar management)
• Ability to work an 8-hour shift between normal business hours of 8:00 am - 8:00 pm EST from Monday - Friday including the flexibility to work occasional overtime based on business need .
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
• Demonstrated ability to multitask and work with a high-volume, task driven workload with short deadline
• Demonstrated high level attention to detail
• Proven ability to meet goals and objectives in a fast-paced work environment
• Demonstrated excellent verbal and written communication skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Benefits
• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution Apply tot his job

Apply tot his job Apply To this Job