Senior Provider Service Representative - San Antonio, TX - Full-time / Part-time

Position Description:
 

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM
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.
 
The Senior 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 and development of external provider education programs. Senior 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 a range of moderately complex activities
Proactively identify solutions to non-standard requests
Solve moderately complex problems on own
Work with team to solve complex problems
Plan, prioritize, organize and complete work to meet established objectives
Basic tasks are completed without review by others
Works independently; May act as a resource for others
Performs routine and moderately complex audits
Actively coordinates and communicates audit requests until completed

Required Qualifications:

High School Diploma or GED
2+ years of previous healthcare credentialing experience
2+ years of experience in a claims, customer service, or provider support role
Intermediate (or higher) level of proficiency with Microsoft Word and Microsoft Excel
Preferred Qualifications:

Knowledge of CMS

Soft Skills:

Strong interpersonal and oral communication skills including telephone etiquette.
Good organization and planning skills
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.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.Keywords: UHG, United Healthcare, San Antonio, Texas, TX, provider, credential, research