FAQs
Do we support remote work?
Yes, this position is fully remote and allows you to work from anywhere within the U.S.
What are the primary responsibilities of the Clinical Appeals RN?
The primary responsibilities include performing medical reviews on provider inquiries and member appeals, adhering to guidelines, interpreting plan language, utilizing clinical guidelines, and accurately documenting determinations.
What qualifications are required for this position?
You must have active, unrestricted RN licensure in your state of residence, 5+ years of RN experience in an acute care inpatient facility, intermediate Microsoft skills, and the ability to work independently.
Is a BSN degree necessary for this role?
A BSN degree is preferred but not mandatory; candidates with an RN license and the required experience are also considered.
What is the expected hourly pay range for this position?
The hourly pay range is $28.03 to $54.95, depending on various factors such as local labor markets, education, and work experience.
Do I need experience in the health insurance industry?
While health insurance industry experience is preferred, it is not strictly required for this position.
What technical requirements are needed to work from home?
You must have a designated quiet workspace and access to secure high-speed internet with a minimum speed of 5 Mbps download and 1 Mbps upload.
What types of experience are beneficial for this role?
Beneficial experiences include analyzing medical records, knowledge of ICD-10/CPT coding, utilization management, and familiarity with appeals guidelines.
Are there diversity and inclusion initiatives at UnitedHealth Group?
Yes, UnitedHealth Group is committed to creating a diverse and inclusive workplace and addressing health disparities.
Is a drug test required for employment?
Yes, candidates are required to pass a drug test before beginning employment at UnitedHealth Group.