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Provider Service Representative - Honolulu, HI
| Hours | Full-time, Part-time |
|---|---|
| Location | Honolulu, HI Honolulu, Hawaii |
About this job
Energize your career with one of Healthcare's fastest growing
companies.
You dream of a great career with a great company – where you can
make an impact and help people. We dream of giving you the opportunity to
do just this. And with the incredible growth of our business, it's a
dream that definitely can come true. Already one of the world's leading
Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to
operate our Service Centers, improve our Service levels and help people lead
healthier lives. We live for the opportunity to make a difference and right
now, we are living it up.
This opportunity is with one of our most exciting business areas:
Optum –a growing part of our family of companies that make UnitedHealth Group a
Fortune 14 leader.
Optum helps nearly 60 million Americans live their lives to the
fullest by educating them about their symptoms, conditions, and treatments;
helping them to navigate the system, finance their Healthcare needs, and stay
on track with their Health goals. No other business touches so many lives in
such a positive way. And we do it all with every action focused on our shared
values of Integrity, Compassion, Relationships, Innovation, and Performance.
Our Network Services Department is
looking for a decisive, energetic Provider Service Representative.
This fast-paced position provides exciting opportunities for professional
growth with a Fortune 100 Company as well as the opportunity to work with
talented team of professionals. The
hired individual will help the Network Manager with recruiting new providers
and maintaining the current provider network. He/She will help with the
credentialing/re-credentialing process and data maintenance for the provider
network. He/She will also look for process
improvement opportunities.
Primary Responsibilities:
- Help manage
a network of behavioral health physicians, clinicians and
facilities/programs. - Help to
identify network gaps and recruiting physicians, clinicians and
facilities/programs to meet these needs. - Acting
as liaison between providers and Optum to resolve problems that arise. - Data
and report management of contracted providers. - Tracking
of network initiatives. - Interaction
and collaboration with care advocacy centers. - Managing
multiple projects/priorities with short deadlines.
Requirements
Required Qualifications:
High School Diploma/GED.- 2+ years of Provider Relations and/or Provider Network experience.
- Experience with Claims processing and issue resolution.
- 1+ year of experience with Microsoft Word, Excel, and PowerPoint.
Preferred Qualifications:
Bachelor's Degree
At
Optum, you will perform within an
innovative culture that's focused on transformational change in the Healthcare
system. You will leverage your skills across a diverse and multifaceted
business. And you will make contributions that will have an impact that's
greater than you've ever imagined.
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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