Provider Service Representative

UnitedHealth Group • Irving, TX

106d • $17 - $31 • Onsite

About The Position

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.

Requirements

• High School Diploma/GED (or higher)
• 2+ years of medical experience
• 1+ years of experience in customer service or provider support role
• Basic level of proficiency with MS programs including Excel and Word
• Access to reliable transportation and valid Texas driver's license
• Personal auto insurance coverage in accordance with organization requirements

Nice To Haves

• Experience working in home health or a clinic setting
• Experience working with electronic medical record applications
• Public speaking experience

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
• Make outbound calls to obtain data and verify information with providers
• Perform analysis and develop reports that help clarify operational issues and opportunities

Benefits

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

What This Job Offers

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