ACR - ECA Support Reviewer - National Remote

Job title: ACR - ECA Support Reviewer - National Remote in Dallas, TX at UnitedHealth Group

Company: UnitedHealth Group

Job description: UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding.In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.This position is full-time (40 hours / week), Monday - Friday. Employees are required to work any 8-hour shift between the hours of 7:00 AM - 5:00 PM (candidate’s time zone). It may be necessary, given the business need, to work occasional overtime.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:

• Complete assigned investigations by reviewing medical documentation and preparing informative reports which include documenting evidence
• Must have basic knowledge of current Official Coding Guidelines
• Writes clear, accurate and concise rationales in support of findings with the ability to provide professional and thorough responses to providers, internal and external partners, and leadership
• Complete entry level hospital bill reviews and emergency room E&M validation
• Maintain and manage daily case review assignments, with a high emphasis on quality
• Identify and prepare medical records and itemized bills to support higher level reviews

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience with analyzing and solving customer problems in an office setting
• Experience with medical billing and coding certification OR the ability to obtain medical coding certification within 6 months of hire
• Experience with ICD-10 CM and PCS coding
• Moderate proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Intermediate level of Microsoft Excel (data entry, sorting, filtering, and pivot tables in spreadsheets)
• Ability to work any 8-hour shift between the hours of 7:00 AM - 5:00 PM (candidate’s time zone). It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 1+ years of experience processing claims with UMR CPS (claims processing system). (UMR is UnitedHealthcare's third-party administrator (TPA) solution). (You must be an employee of UMR specifically to have experience with the UMR claims system)
• 1+ years of experience analyzing and solving customer problems
• Recent or current enrollment in a medical billing and coding certification program or courses
• Experience supporting projects

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:

• Ability to balance daily responsibilities independently while prioritizing escalated tasks
• Organizational skills
• Clear and concise written and verbal communication skills, including the ability to present during meetings

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.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.#RPO

Expected salary: $19.86 - 38.85 per hour

Location: Dallas, TX

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