![Unified Group Services Inc](https://media.trabajo.org/img/noimg.jpg)
Appeals Specialist
3 weeks ago
Unified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans.
Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is crucial to continuing that status.
Appeals may be submitted by providers and/or their representatives, members, attorneys, and sometimes a PPO (Preferred Provider Organization) may request a review.
JOB DESCRIPTION:
- Research internal/external appeal (benefit determination, Usual and customary reduction, discount dispute, eligibility).
- Work with internal review vendors on internal appeals and independent review organizations (IRO) on external reviews. This essential team review requires the employee to work inside the office.
- Work with our clients, reinsurance department, subrogation department, case management/pre-cert vendors, PPOs on occasion
- Draft letters in response to appeal (providers, provider representatives, members, occasionally an attorney)
- Adhere to plan timeframes regarding all aspects of appeals
- As with any job, there may be other tasks assigned as necessary.
JOB QUALIFICATIONS:
- High School Diploma or GED. Some college is helpful but not required
- Working knowledge of Microsoft Word, Excel, and Outlook is required
- Strong math skills.
- Attention to detail and the ability to meet deadlines are critical to success.
- Professional phone communication skills.
- Good organizational skills and excellent customer service.
- Good writing skills, using proper grammar, punctuation, and sentence structure.
- Problem-solving and decision-making skills are vital
- Self-motivated & self-starter with a willingness to learn.
- Excellent attendance.
PAY BASIS: Hourly
Hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.
BENEFITS:
Unified Group offers an excellent benefits package including:
- Medical, dental, and vision insurance
- Matching 401K plan
- Life insurance
- Short and Long-term disability
- Student loan debt payments
- Vacation and PTO time
- Health Clinic
- Sponsored wellness plans.
OTHER REASONS TO WORK HERE:
- Family-oriented, positive work environment
- Weekends off
- Voluntary overtime during peak season
- Recently voted one of the Best Places to Work in Indiana
This is an in-the-office position. We are located just off I-69, exit 226.
Unified Group Services is an Equal Opportunity Employer.
-
Appeals Specialist
1 month ago
Anderson, United States Unified Group Inc Full timeUnified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is...
-
Appeals Specialist
3 weeks ago
Anderson, United States Unified Group Inc Full timeUnified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is...
-
Appeals Specialist
1 month ago
Anderson, United States Unified Group Services Inc Full timeUnified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is...
-
Appeals Specialist
3 weeks ago
Anderson, United States Unified Group Services Inc Full timeUnified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We're dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Unified Group Services has a reputation for excellent customer service in the marketplace, and this position is...
-
BUSINESS OFFICE MANAGER
4 weeks ago
Anderson, United States CarDon & Associates Full timeJob Description Job Summary: The Administrative Appeals Specialist is an administrative role that supports the Appeals Director in the medical appeals process. This position is 20 to 25 hours a week. Requirements: Excellent prioritization and organizational skills: effectively manage competing priorities and multiple deadlines. Ability to multi-task and meet...
-
Physician - Family Medicine
4 weeks ago
Anderson, United States Ascension Indiana Full timeDetailsSpecialty: Family Medicine or Internal MedicineSchedule: Monday-Friday 7am-5pmCall Schedule: Weekend call 1:8Practice Detail: Join 1 MD and 3 APP'sEMR System: AthenaFacility: Anderson Internal MedicineLocation: Anderson, IndianaBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match...
-
Physician - Family Medicine
2 weeks ago
Anderson, United States Ascension Indiana Full timeDetailsSpecialty: Family Medicine or Internal MedicineSchedule: Monday-Friday 7am-5pmCall Schedule: Weekend call 1:8Practice Detail: Join 1 MD and 3 APP'sEMR System: AthenaFacility: Anderson Internal MedicineLocation: Anderson, IndianaBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match...
-
Physician - Family Medicine
1 month ago
Anderson, United States Ascension Health Full timeDetails * Specialty: Family Medicine or Internal Medicine * Schedule: Monday-Friday 7am-5pm * Call Schedule: Weekend call 1:8 * Practice Detail: Join 1 MD and 3 APP's * EMR System: Athena * Facility: Anderson Internal Medicine * Location: Anderson, Indiana Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits...
-
Physician - Family Medicine
3 weeks ago
Anderson, United States Ascension Health Full timeDetails * Specialty: Family Medicine or Internal Medicine * Schedule: Monday-Friday 7am-5pm * Call Schedule: Weekend call 1:8 * Practice Detail: Join 1 MD and 3 APP's * EMR System: Athena * Facility: Anderson Internal Medicine * Location: Anderson, Indiana Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits...
-
Physician - Family Medicine
3 weeks ago
Anderson, United States Ascension Indiana Full timeDetails Specialty: Family Medicine or Internal Medicine Schedule: Monday-Friday 7am-5pm Call Schedule: Weekend call 1:8 Practice Detail: Join 1 MD and 3 APP's EMR System: Athena Facility: Anderson Internal Medicine Location: Anderson, Indiana Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including...
-
Physician - Family Medicine
2 weeks ago
Anderson, United States Ascension Indiana Full timeDetailsSpecialty: Family Medicine or Internal MedicineSchedule: Monday-Friday 7am-5pmCall Schedule: Weekend call 1:8Practice Detail: Join 1 MD and 3 APP'sEMR System: AthenaFacility: Anderson Internal MedicineLocation: Anderson, IndianaBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match...
-
Physician - Family Medicine
3 weeks ago
Anderson, United States Ascension Indiana Full timeDetails Specialty: Family Medicine or Internal Medicine Schedule: Monday-Friday 7am-5pm Call Schedule: Weekend call 1:8 Practice Detail: Join 1 MD and 3 APP's EMR System: Athena Facility: Anderson Internal Medicine Location: Anderson, Indiana Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including...
-
Physician - Family Medical
3 weeks ago
Anderson, IN, United States Ascension Indiana Full timeFamily Medicine or Internal Medicine - Schedule: Monday-Friday 7am-5pm - Call Schedule: Weekend call 1:8 - Practice Detail: Join 1 MD and 3 APP's - Facility: Anderson Internal Medicine - Various health insurance options & wellness plans - Retirement benefits including employer match plans - Long-term & short-term disability - Employee assistance programs...
-
GP Job
1 week ago
Anderson, IN, United States Ascension Indiana Full timeFamily Medicine or Internal Medicine Schedule: Monday-Friday 7am5pm Call Schedule: Weekend call 1: Practice Detail: Join 1 MD and 3 APP's Facility: Anderson Internal Medicine Various health insurance options & wellness plans Retirement benefits including employer match plans Longterm & shortterm disability Employee assistance programs (EAP) Tuition...
-
Physician - Family Medical
7 days ago
Anderson, IN, United States Ascension Health Full timeFamily Medicine or Internal Medicine Schedule: Monday-Friday 7am-5pm CallSchedule:Weekend call 1:8Practice Detail: Join 1 MD and 3 APP's Facility: Anderson Internal Medicine Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Tuition...
-
Physician - Family Medicine
3 weeks ago
Anderson, IN, United States Ascension Indiana Full timeDetails Specialty: Family Medicine or Internal Medicine Schedule: Monday-Friday 7am-5pm Call Schedule: Weekend call 1:8 Practice Detail: Join 1 MD and 3 APP's EMR System: Athena Facility: Anderson Internal Medicine Location: Anderson, Indiana Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits...
-
Physician - Family Medicine
7 days ago
Anderson, IN, United States Ascension Indiana Full timeDetailsSpecialty: Family Medicine or Internal MedicineSchedule: Monday-Friday 7am-5pmCall Schedule: Weekend call 1:8Practice Detail: Join 1 MD and 3 APP'sEMR System: AthenaFacility: Anderson Internal MedicineLocation: Anderson, IndianaBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match...