Job Details

Independent Dispute Resolution Case Fee Reviewer

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 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.

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.

This position is responsible for reviewing and approving Independent Dispute Resolution (IDR) case fees by validating case details, determining payment eligibility, and researching missing fee invoices through direct outreach to arbiters and arbiter portals. Provides backup support for account receivable and accounts payable functions related to IDR payments and refunds.

This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00am - 5:00pm local time zone. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Ability to multitask and manage a high-volume, fast-paced workload with short regulatory deadlines.
• Clear, professional communication within a remote regulatory operations team.
• Support other accounting/administrative functions as business needs require.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience in Claims and / OR medical billing experience required
• Experience with MS Office suite
• Intermediate level Excel experience (pivot tables & vlookups)
• Ability to work full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00am - 5:00pm local time zone. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Basic accounting skills (e.g., accounts payable/receivable) preferred.

Telecommuting Requirements:

• 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.

Soft Skills:

• High level of attention to detail, with the ability to efficiently manage a demanding workload and meet goals and objectives in a fast-paced work environment.
• Excellent verbal and written communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.