Provider Installation Representative - National Remote
Company: UnitedHealth Group
Location: Austin
Posted on: March 18, 2023
Job Description:
You'll enjoy the flexibility to telecommute from anywhere within
the U.S. as you take on some tough challenges. 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 diversity
and inclusion, talented peers, comprehensive benefits and career
development opportunities. Come make an impact on the communities
we serve as you help us advance health equity on a global scale.
Join us to start Caring. Connecting. Growing together. The Provider
Installation Representative is responsible for various activities
related to the Provider Network database which may include:
database maintenance, reporting and extracting data for various
reports and analyses, and initiating database improvement. The
Provider Installation Representative will develop and maintain
standards for database integrity and quality assurance, coordinate
corrective activities to clean database and retain users, and
manage communication processes with other departments regarding
database improvements. Other responsibilities include conducting
audits and providing feedback to reduce errors and improve
processes and performance, maintaining current provider data to
ensure the quality of the network, and may be responsible for
representing the provider network area on company IT projects,
reporting and tracking provider calls and complaints, or for the
support, coordination, and production of the paper directory
cycles.We offer 4 weeks of paid training. Training is approximately
4-6 weeks. This position is full-time (40 hours/week) Monday to
Friday. Employees are required to have flexibility to work any of
our 8-hour shift schedules during our normal business hours of
08:00am - 05:00pm local time zone. All Telecommuters will be
required to adhere to UnitedHealth Group's Telecommuter
Policy.Primary Responsibilities:
- Maintenance of all provider records within the health plan
system(s). Includes: setup of demographic and specialty
information, panel information (if applicable), line of business
and fee schedule as instructed
- Assists in ensuring that Provider Directories and regulatory
requirements are accurate and that errors are root caused and
discussed at the global level to ensure appropriate corrections and
improvements are made
- Data integrity and quality assurance
- Requests for new or updates to provider records must completed
within business mandated service level agreements
- Other assignments and projects as requestedGet ready for a real
challenge. You'll be part of a performance driven team that's
striving to meet ambitious goals as the volume of providers needing
validation continues to grow. That includes handling incoming calls
and requests from providers and ensuring that their experience is
always of the highest quality.You'll 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 / GED (or higher)
- 1+ years of experience interpreting and processing
- 1+ years of medical or behavioral insurance experience
(including but not limited to: data interpretation, data changes,
research, working with providers, etc.)
- Experience with Microsoft Excel (filter, sort, create, and edit
spreadsheets)
- Experience working within multiple platforms and/or system
simultaneously
- Ability to work first 4-6 weeks of training, 7:00am - 4:00pm
CSTTelecommuting Requirements:
- Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
- Ability to keep all company sensitive documents secure (if
applicable)
- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet servicePreferred Qualifications:
- 1+ years of customer service experience
- 1+ years of claims experience
- 1+ years in a healthcare setting particularly with managed care
systems
- Experience with Medicaid / Medicare / Commercial rules and
regulations
- Experience working in a production and quality environment
- Experience working with OHBS and CSP Facets, COSMOS, and/or
NDBCareers with Optum. Our objective is to make health care simpler
and more effective for everyone. With our hands at work across all
aspects of health, you can play a role in creating a healthier
world, one insight, one connection and one person at a time. We
bring together some of the greatest minds and ideas to take health
care to its fullest potential, promoting health equity and
accessibility. Work with diverse, engaged and high-performing teams
to help solve important challenges.California, Colorado,
Connecticut, Nevada, Washington or New York, Rhode Island Residents
Only: The salary range for California / Colorado / Connecticut /
Nevada / Washington / New York / Rhode Island residents is $16.00 -
$31.44.Pay is based on several factors including but not limited to
education, work experience, certifications, etc. In addition to
your salary, UnitedHealth Group offers benefits such as, a
comprehensive benefits package, incentive and recognition programs,
equity stock purchase and 401k contribution (all benefits are
subject to eligibility requirements). No matter where or when you
begin a career with UnitedHealth Group, you'll find a far-reaching
choice of benefits and incentives.At UnitedHealth Group, our
mission is to help people live healthier lives and make the health
system work better for everyone. We believe everyone-of every race,
gender, sexuality, age, location and income-deserves the
opportunity to live their healthiest life. Today, however, there
are still far too many barriers to good health which are
disproportionately experienced by people of color, historically
marginalized groups and those with lower incomes. We are committed
to mitigating our impact on the environment and enabling and
delivering equitable care that addresses health disparities and
improves health outcomes - an enterprise priority reflected in our
mission.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: UnitedHealth Group, Austin , Provider Installation Representative - National Remote, Other , Austin, Texas
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