[Hiring] Provider Relations Representative @UnitedHealth Group

Role Description

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.

We are in search of a self-directed professional with a strong work ethic and the ability to thrive in high-pressure situations. If you are interested in a position that offers challenging work and a variety of problems to solve and troubleshoot, this might be the right role for you.

Successful candidates must have an analytical mindset, claims research background, and excellent communication skills. This role will focus on provider contact rate reduction by:

• Analyzing repeat call drivers to identify root cause trends
• Developing action plans to address trends
• Collaborating with internal business partners and providers to implement remediation solutions

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Qualifications

• 2+ years of knowledge of line of business systems (CSP Facets, COSMOS, UNET) and Provider Service Operations processes (C&S, M&R, E&I)
• 2+ years of experience and/or demonstrated understanding/knowledge of physician, ancillary and facility claims, including submission, coding, and processing, contracting methodologies, contract loading, contract interpretation
• 1+ years of customer service experience with the ability to handle escalated calls, gain the callers trust, take ownership of caller’s issue, and manage through to resolution
• 1+ years of experience with educating provider on details of UHG reimbursement policies, etc., and related claim issues
• 1+ years of experience with researching, understanding and communication of UHG’s reimbursement policies
• Intermediate level of proficiency with PC based software programs and automated database management systems required

Requirements

• 2 years of experience with UHG Technologies
• 1 year of experience with understanding, interpreting, and determining actionable remediation plans from data driven reporting
• Working knowledge of UHG various lines of business
• Comfortable using V-Lookups in Excel

Soft Skills

• Excellent communication, time/project management, problem solving, organizational, and analytical skills required
• Clear spoken voice and solid communication skills, both verbally and written
• Experience in team interactions and improvement methods/projects
• Ability to work independently and make sound decisions in a fast-paced environment
• Proven ability to manage multiple tasks, prioritize and meet deadlines under a heavy workload
• Excellent follow up, organizational and change management skills
• Ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.