Top 532 Senior account representative Jobs in Hurst, Tx

Senior Appeals Representative
Optum —Dallas, TX
- $20 - $36 an hour
- 8 hour shift
- Remote
- 18 years or older
- Computer literacy
- Pass drug screening
- Paid training
- On-the-job training
1d
SENIOR RESEARCH & DEVELOPMENT SPECIALIST
Standard Meat Company —Dallas, TX
- From $90,000 a year
- Full-time
- Spanish
- 5 years
- English
- Health insurance
- Dental insurance
Quick Apply
Adult Nurse Practitioner
Valora Medical Group —Grand Prairie, TX
- Full-time
- Bilingual
- Background check
- Spanish
- Health savings account
- Disability insurance
Quick Apply
FBO Operations Manager-Aviation
Sky Harbour —Addison, TX
- $90,000 - $110,000 a year
- Overtime
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply
Injection Mold Tooling Technician
DCM Manufacturing —Grand Prairie, TX
- $18 - $25 an hour
- Overtime
- Mid-level
- High school diploma or GED
- Travel
- Health savings account
- Health insurance
Quick Apply
National Account Manager (Pallet Racking & Material Handling Systems)
Ziglift Material Handling —Fort Worth, TX
- $50,000 - $90,000 a year
- Full-time
- Microsoft Word
- AutoCAD
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
Inside Sales Representative - NEFCO Construction Supply
NEFCO Construction Supply LLC —Irving, TX
- ERP systems
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Sales Professional
Tradition Energy —Irving, TX
- $75,000 - $100,000 a year
- Full-time
- Mid-level
- Office
- Business development
- Health savings account
- Disability insurance
Quick Apply
7d
Senior Outside B2B Sales Executive
Wholesale Payments —Fort Worth, TX
- $93,489 - $223,999 a year
- Full-time
- Remote
- Business development
- Fair chance
- Senior level
- Paid training
- Health savings account
Quick Apply
Sr Analyst - Income Tax
Energy Transfer Partners —Dallas, TX
- Full-time
- Microsoft Outlook
- CPA
- 5 years
Quick Apply
Commercial Lines Senior Client Service Manager
Higginbotham —Fort Worth, TX
- Hybrid work
- Microsoft Outlook
- Writing skills
- Office
- Wellness program
- Paid holidays
Primary Care Physician
Valora Medical Group —Southlake, TX
- From $210,000 a year
- Full-time
- Bilingual
- Background check
- Spanish
- Health savings account
- Disability insurance
Quick Apply
Sales Representative
Apex One Partners —Irving, TX
- $25 - $30 an hour
- Full-time
- Background check
- High school diploma or GED
- Bachelor's degree
- Paid training
- Health insurance
Quick Apply
Senior Operations Supervisor (Supply Chain/Logistics)
Penske Truck Leasing —Grand Prairie, TX
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
1d
Sales Representative
Apex One Partners —Lewisville, TX
- $25 - $30 an hour
- Full-time
- Background check
- High school diploma or GED
- Bachelor's degree
- Paid training
- Health insurance
Quick Apply
B2B Client Representative (Entry Level)
Omega Solutions —Dallas, TX
- $900 - $1,450 a week
- Full-time
- Background check
- No experience needed
- Office
- Employee discount
- Professional development assistance
Quick Apply
10d
Natural Gas Process Account Manager
Cherokee Measurement & Control —Texas
- Full-time
- CRM software
- Background check
- Microsoft Outlook
- Health insurance
- Dental insurance
3d
Remote Regional Healthcare Senior Finance Manager - Surgery - TUS
Texas Oncology —Dallas, TX
- 7 years
- CPA
- Surgery
- Wellness program
- Disability insurance
Senior Operations Supervisor (Supply Chain/Logistics)
Penske Truck Leasing —Carrollton, TX
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Inventory management
11d
Entry-Level Account Executive (B2B)
Scar Staffing —Dallas, TX
- $18.45 - $23.26 an hour
- Part-time
- Background check
- Marketing
- High school diploma or GED
- Paid training
- Health insurance
Quick Apply
1d

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Senior Appeals Representative

Optum -
Dallas, TX

Apply Now

Job Details

Full-time
$20 - $36 an hour
1 day ago

Benefits

Paid training
On-the-job training

Qualifications

Confidential information handling
Research
Windows
Desktop applications
Computer skills
Productivity software

Full Job Description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a Senior Appeals Representative, you will be doing all end - to - end process. Work independently with support for leaders and members. Should be deadline driven and detail oriented, while holding accountability to all actions. Appeals would be assigned to them all day and pivot if needed. Work higher volume but requires less effort and less time spent working it.

Employees in this position are responsible for responding, analyzing, and resolving written clinical or administrative appeal requests using the correct process, letter templates, appeal attachments and enclosures within the required timeframes for all level of care for all delegated accounts.

This position is full time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 6:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

This will be paid on the job training and the hours during training will be 8:00 am to 5:00 pm, Monday - Friday.

Primary Responsibilities:

Research and resolve written appeals submitted by consumers and physicians / providers
Ensure appeals has been categorized correctly
Obtain additional documentation required for case review
Review case to determine if review by clinician is required
Render decision for non - clinical appeals using sound, fact - based decision making
Complete necessary documentation of final appeals or grievance determination using appropriate templates
Communicate appeal or grievance information to members or providers and internal / external parties within the required timeframes
Manage assigned inventory to ensure timely and accurate resolution of cases
Must have exceptional multi - tasking skills with the ability to prioritize tasks

This is a challenging role with serious impact. You'll need strong analytical skills and the ability to effectively interact with other departments to obtain original claims processing details. You'll act as a subject matter expert for your team on applicable regulatory guidelines and privacy policies. You'll also need to effectively draft correspondence that explains the claim resolution / outcome as well as next steps / actions for the member.

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 appeals and grievances OR 2+ years of experience in a healthcare setting with knowledge of claims and / OR claims adjustments
Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 7:00 AM - 6:00 PM local time from Monday - Friday. It may be necessary, given the business to work occasional overtime or weekends.

Preferred Qualifications:

Behavioral claims OR appeals experience
Previous experience with using Linx, ISET, ICUE, ACET, CSP Facets, ATS, Doc360, EnterpriseNow

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:

Extensive work experience within own function
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate others' activities. Extensive work experience within own function
Ability to multi - task, this includes the ability to understand multiple products and multiple levels of benefits within each product
Strong written communication skills including advanced skills in grammar and spelling

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

Apply Now

Refine Your Search

senior account representative jobs in hurst, tx

Senior Appeals Representative

SENIOR RESEARCH & DEVELOPMENT SPECIALIST

Adult Nurse Practitioner

FBO Operations Manager-Aviation

Injection Mold Tooling Technician

National Account Manager (Pallet Racking & Material Handling Systems)

Inside Sales Representative - NEFCO Construction Supply

Sales Professional

Senior Outside B2B Sales Executive

Sr Analyst - Income Tax

Commercial Lines Senior Client Service Manager

Primary Care Physician

Sales Representative

Senior Operations Supervisor (Supply Chain/Logistics)

Sales Representative

B2B Client Representative (Entry Level)

Natural Gas Process Account Manager

Remote Regional Healthcare Senior Finance Manager - Surgery - TUS

Senior Operations Supervisor (Supply Chain/Logistics)

Entry-Level Account Executive (B2B)

I want to receive the latest job alert for senior account representative in hurst, tx

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