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Provider Relations Associate - Credentialing - Latham, NY
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Latham, NY Latham, New York |
About this job
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do 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.
Primary Responsibilities:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do 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.
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.
Requirements
Required Qualifications:
- High School Diploma/GED
- 1+ year previous healthcare customer service and/or provider credentialing experience
- Ability to utilize MS Excel to perform data entry, sorting/filtering, and working within basic tables.
- Ability to utilize MS Word to create general correspondence, update infomration within forms/templates, and use of spell/grammar check tools
Preferred Qualifications:
- Previous experience working with public sector population
- Previous experience in a provider relations, or provider support role
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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