Appeals Representative (Dental)

Supervision/guidance is required for higher level tasks. Utilizing Omega and Webstation. Ensure complaint has been categorized correctly. Determine and confirm member eligibility and benefits. Obtain additional documentation required for case review. Log and route appeals. Place relevant documents into image repository. Initiate outbound contact to members or providers..Review case to determine if review by Clinician is required..Research and resolve verbal and written complaints submitted by consumers and providers. Render decision for non - clinical complaints using sound, fact - based decision making. Utilize applicable tools/resources to investigate and document.

According to JobzMall, the average salary range for a Appeals Representative (Dental) in 4 Walnut Grove Dr, Horsham, PA 19044, USA is between $35,000 and $45,000. This range is based on the data from current job openings in the area.

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.