Associate provider service representative

Employment Type

: Full-Time

Industry

: Retail



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Position Description

Here you are in the earlier stages of what could be a deeply rewarding career. You have the potential, the energy and the aspiration to take on meaningful challenges and make a difference. Now, let's talk about what you can do with our leading, global health care organization.

UnitedHealth Group is driving even higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your knowledge of insurance claims and customer service to help create strong relationships with the providers in our networks. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader. 

Primary Responsibilities:

  • Assist in end-to-end provider claims and help enhance call quality
  • Assist in the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Support development and management of provider networks
  • Help implement training and development of external providers through education programs
  • Identify gaps in network composition and services to assist network contracting and development teams
  • Ready to step to the challenge? We'll call on you to help develop policies and procedures and explore novel solutions for issues and challenges. You'll ensure that contracted rates and reimbursement policies are applied accurately while supporting and reviewing claim disputes, verifying pricing and determining errors/gaps.

    Required Qualifications:

  • High school diploma or equivalent work experience
  • 1+ years of managed care or medical insurance experience
  • 1+ years experience in a claims, customer service or provider support role
  • Proven verbal communication skills including telephone etiquette
  • Proficiency with MS programs including Excel and Word
  • The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.(sm)

    Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)
    Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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