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Provider Service Representative - New York, NY
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | New York, NY New York, New York |
About this job
Position Description:
Positions in this function are accountable for the full range of provider relations and service interactions within UHG, 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. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
Primary Responsibilities:
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.
- Moderate work experience within own function.
- Some work is completed without established procedures.
- Basic tasks are completed without review by others.
- Supervision/guidance is required for higher level tasks.
Requirements
Required Qualifications:
- High school diploma/GED
- 2+ years of managed care or medical insurance experience.
- 1+ years experience in a claims, customer service or provider support role.
- Ability to work independently and remain on task.
- Good organization and planning skills.
- Strong interpersonal and oral communication skills including telephone etiquette.
- 3+ years experience creating and editing spreadsheets in MS Excel.
- 3+ years experience creating and editing correspondence in MS Word.
- 3+ years experience using and creating Powerpoint presentations
- Experience supporting management
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
Diversity creates a healthier atmosphere: 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.