Clinical Appeals RN - California RN requirement

The Job Holder
California, USA
Jan 13, 2020

Client Name

UnitedHealth Group


Vocations with UnitedHealthcare. We should discuss the opportunity. Start with a Fortune 17 association that is serving in excess of 85 million individuals as of now and building the business's solitary notoriety for intense thoughts and flawless execution. Presently, include your vitality, your energy for greatness, your close fixation on driving improvement. Get the image? UnitedHealthcare is serving managers and people, states and networks, military families and veterans any place they're found over the globe. We present to them the assets of an industry chief and a pledge to improve their lives that is best in class. This is no little chance. It's the place you can do your life's best work.(sm) 

In case you're keen on bringing your nursing experience to a job that offers customary, Monday through Friday business hours and sufficient potential for progression, apply to go along with us as one of our most current Clinical Admin Nurses! 

This position will deal with the clinical audit of Commercial HMO claims and will be answerable for finishing both standard and assisted part advance solicitations. Standard interests must be finished inside 25-30 days. Sped up bids must be finished inside 24-72 hours. Requires phone contact with Members as well as suppliers starting an intrigue to clarify the procedure, criteria, and result. Requires contact with Medical Groups or potentially supplier workplaces for records and case effectuation. Requires once in a while phone contact with Members. Requires culmination of composed correspondence for Member result letters. 

On the off chance that you have a California RN permit, you will have the adaptability to telecommute* as you take on some extreme difficulties.