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UnitedHealth Group

UnitedHealth Group is looking for a Provider Service Representative – Remote in Ohio  #PagosaSpringsJobBoard #JobVacanciesNearPagosaSprings

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)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. Provider Service Representatives assist in the design and implementation programs to build and nurture 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 accountable for the full range of provider relations and service interactions within UHG, 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. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.Primary Responsibilities: Apply knowledge/skills to activities that often vary from day to day Demonstrate a moderate level of knowledge and skills in own function Require little assistance with standard and non-standard requests Solve routine problems on own Work with supervisor to solve more complex problems Prioritize and organize own work to meet agreed upon deadlines Work with others as part of a team Work heavily with ExcelYoull be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications High School Diploma or GED 1+ year of experience in managed care or medical insurance 1+ year of experience in a claims or provider support role 1+ year of experience working with Microsoft Office including Microsoft Outlook (ability to create, edit, save, and send documents), Microsoft Word (ability to create, edit, save, and send documents) Intermediate proficiency with Microsoft Excel (ability to create, edit, save, and send documents)Preferred Qualifications Ability to work independently and remain on task. Good organization and planning skills. Strong interpersonal and oral communication skills including telephone etiquette. Basic level of research and analytical skills.UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities: [ Link removed ] – Click here to apply to Provider Service Representative – Remote in Ohio.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: UHG, UnitedHealth Group, Provider, Service, Representative, Ohio, Columbus, #RPO Recommended SkillsMicrosoft WordMicrosoft ExcelMicrosoft OutlookVerbal CommunicationMicrosoft OfficeHealth InsuranceRecommended JobsAdministrativeClient RepresentativeAtlanta,GaClient Representative, Atlanta,GaProvider Service Representative – Remote in OhioUnitedHealth GroupWork From HomeFull Time
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})TClient Services RepresentativeThe DKS Associates of USAAtlanta$80,000/Year
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})Provider Service Representative – Remote NationwideUnitedHealth GroupAtlanta
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