Provider Service Rep - National Remote

UnitedHealth Group • Eden Prairie, MN

389d • $34,403 - $67,704 • Remote

About The Position

The position involves assisting in the management of provider claims and enhancing call quality within a healthcare setting. The role focuses on building and nurturing relationships between health plans, providers, and practice managers, while also supporting the development and management of provider networks. The candidate will be responsible for identifying gaps in network composition and assisting in the training and development of external providers through educational programs. This role offers the flexibility to telecommute from anywhere within the U.S.

Requirements

• High School Diploma/GED (or higher)
• 1+ years of managed care or medical insurance experience
• 1+ year of customer service experience or claims experience
• Intermediate proficiency with MS programs including Excel and Word

Nice To Haves

• Ability to build and leverage a network of experts to supplement one's own expertise
• Capable of managing a variety of complex issues while driving momentum of key projects
• Strong strategic and business acumen and well-grounded in health care delivery systems
• Negotiation and communication skills

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED