Provider Service Representative
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 on 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. The Provider Service Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Senior Provider Service Representatives assist in building and nurturing positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. Positions in this function are responsible for day-to-day communication with the health plan and it’s provider network. If you are located within a commutable distance to 2720 N Tenaya Way, Las Vegas, Nevada, you will have the flexibility to work hybrid with expectation to work in office 3 days per week. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- High School Diploma/GED (or higher) OR 5+ years of managed care or medical insurance experience
- 2+ years of experience with managed care or medical insurance
- 2+ years of experience in a customer service or provider support role
- Intermediate level of proficiency with Microsoft Word and Excel
- Reside within a commutable distance to 2720 N Tenaya Way, Las Vegas, Nevada
Nice To Haves
- Experience with provider relations or provider contracting
- Experience with health insurance provider claims
- Type at least 50 wpm
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Responsibilities
- Apply knowledge/skills to a range of moderately complex activities
- Demonstrate great depth of knowledge/skills in own function
- Sometimes act as a technical resource to others in own function
- Proactively identify solutions to non-standard requests
- Solve moderately complex problems on own
- Work with team to solve complex problems
- Plan, prioritize, organize and complete work to meet established objectives
- May coordinate work of other team members
- Normal office environment
- Extensive work experience within own function
- Work is frequently completed without established procedures
- Works independently
- May act as a resource for others
- May coordinate other activities
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
