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Hours Full-time, Part-time
Location Latham, NY
Latham, New York

About this job

Position Description:



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.




The 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 & development of external provider education programs. 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 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.

Requirements

Required Qualifications:
  • High School Diplom/GED.
  • 2+ years of Managed Care or Medical Insurance experience.
  • 1+ year experience in a Claims, Credentialing, or a Provider Support role.
  • The ability to create and edit spreadsheets in Microsoft Excel.
  • The ability to create and edit correspondence in Microsoft Word.


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, 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.