United Healthcare Careers – Relations Advocate Provider

Website United Healthcare

Job Description:

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 5 leader.

Job Responsibilities:

  • Coach, provide feedback and guide others
  • Assist in efforts to enhance ease of use of physician portal and future services enhancements
  • Assist in end-to-end provider claims and help enhance call quality
  • Help implement training and development of external providers through education programs
  • Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
  • Identify gaps in network composition and services to assist network contracting and development teams

Job Requirements:

  • Intermediate level of proficiency in claims processing and issue resolution

Qualification & Experience:

  • Proficiency with MS Word, Excel, PowerPoint, and Access
  • 1+ years of experience with Medicare and Medicaid regulations
  • 3+ years of provider relations and/or provider network experience
  • High school diploma or equivalent experience
  • Resident of Mississippi
  • 5+ years of health care/managed care experience

Job Details:

Company: United Healthcare

Vacancy Type: Full Time

Job Location: Jackson, MS, US

Application Deadline: N/A

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