Provider Relations Advocate - Remote in KS

UnitedHealth Group•Overland Park, KS

6d•Remote

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever 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 solid customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 1 leader. If you are in the State of Kansas or within 50 miles of the border, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

2+ years of experience working with Medical Providers
1+ years of experience with Medicaid Regulations
1+ years of experience in providing training or education
1+ years of medical insurance claims/billing experience
Willingness and ability to speak and meet with Providers directly on a variety of topics
Intermediate level of proficiency in claims processing and issue resolution
Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access
Demonstrated excellent written and oral communication skills
Demonstrated ability to work independently and remain on task with little to no day to day supervision
Demonstrated good organization, planning skills
Demonstrated ability to prioritize and meet deadlines from multi staff members through the department
Demonstrated exceptional presentation, written and verbal communication skills
Driver's license and access to reliable transportation
Ability to travel on up to 25% of the time within the State of KS

Nice To Haves

2+ years of provider relations and / or provider network experience
2+ years of experience of Medicaid experience
1+ years of KS Medicaid and Kansas Billing requirements
Experience with CSP Facets
Knowledge of Behavioral Health Billing
Intermediate level knowledge MS Word, Excel, PowerPoint
Intermediate level of claims processing and issue resolution

Responsibilities

Assist in end-to-end provider claims processing and resolution
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Assist in identifying gaps in network composition and services to support network contracting and development teams
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Investigate non-standard requests and problems, with some assistance from others
Work exclusively within a specific knowledge area
Prioritize and organize own work to meet deadlines
Provide explanations and information to others on topics within area of expertise
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Investigate non-standard requests and problems, with some assistance from others
Work exclusively within a specific knowledge area
Provide explanations and information to others on topics within area of expertise
Analyzes and investigates claim issues
Training providers on a variety of topics in both small and large settings