Provider Installation Representative - National Remote

Company: UnitedHealth Group
Location: Bedford
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 requested
  Get 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 CST
    Telecommuting 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 service
      Preferred 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 NDB
        Careers 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, Bedford , Provider Installation Representative - National Remote, Other , Bedford, Texas