Provider Installation Coordinator - Ontario, CA

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 Installation Coordinator is responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Provider Installation Coordinators are also responsible for overall provider contract and amendment loading and processing using various databases, and for resolving various claims discrepancies related to provider installations and contract pricing. Responsibilities may also include auditing contract loads for adherence to quality measurers and reporting standards. Provider Installation Coordinators must have a customer service mindset in working with our providers, doctors, hospitals, clinics, etc.
 
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

Respond to routine or 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
 
 

Required Qualifications:


High school diploma or equivalent

1+ years’ customer service or client service experience, preferably within an office setting

At least a basic level of proficiency with MS Office, particularly Excel and Word
Preferred Qualifications:


Undergraduate degree

Previous experience in managed care or medical insurance experience, specifically in credentialing providers, working in provider relations, medical claims processing or quality management

Strong interpersonal and oral communication skills including telephone etiquette

Strong organizational skills, ability to prioritize and meet deadlines from multi-staff members within the department
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)
 
North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.
 
The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.
 
 
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.
 
 
Job Keywords: Provider Installation Coordinator, customer service, problem solving, provider contract, claims, auditing, Ontario, CA, California
 
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