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in Austin, TX
Provider Relations Advocate - Austin or San Antonio, TX - Full-time / Part-time
Hours | Full-time, Part-time |
---|---|
Location | Austin, TX Austin, Texas |
About this job
The Provider Relations
Advocate is responsible for 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 Relations Advocates design and implement
programs to build and nurture positive relationships between the health plan,
providers (physician, hospital, ancillary, etc.), and practice managers.
Responsibilities also include directing and implementing strategies relating to
the development and management of a provider network, identifying 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:
- Use pertinent data and facts to identify and solve a
range of problems within area of expertise. - Investigate non-standard requests and problems,
with some assistance from others. - Work exclusively within a specific knowledge area
. - Prioritize and organize own work to meet
deadlines. - Provide explanations and information to others on
topics within area of expertise.
Requirements
Required
Qualifications:
- Bachelors Degree.
- 2+ years of Provider Relations and/or Provider Network experience.
- 2+ years experience in Claims processing
and issue resolution. - 2+ years experience with Medicare and Medicaid
regulations/claim processing and issue resolution. - Presentation, written and verbal
communication skills. - Ability to work independently and remain on task.
- Ability to prioritize and meet deadlines from
multi-staff members within the department. - 2+ years experience with Microsoft Word,
Excel, PowerPoint.
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.