Provider Installation Specialist - Southfield, MI

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 Specialist is responsible for the maintenance 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. Responsibilities will also include auditing contract loads for adherence to quality measures and reporting standards. Primary Responsibilities:

Auditing and validating provider data integrity to ensure accuracy
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
Additional ad hoc responsibilities as assigned

Required Qualifications:

High School Diploma or equivalent
2+ years of work experience in a corporate setting
2+ years of managed care or medical insurance experience, specifically in credentialing providers, working in provider relations, medical billing or quality management
At least a basic or higher level of proficiency with MS Excel, Word and Access
 Preferred Qualifications:

Undergraduate degree
Provider data auditing and accounting experience will be a plus
Contract loading experience and knowledge of Facets
Understanding of Provider contracts and Medicaid reimbursement methodologies
Strong interpersonal and oral communication skills
Strong organizational skills, ability to prioritize and meet deadlines from multi-staff members within the department
Ability to work independently and as part of a team
 
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.
 
 
Job Keywords: Provider maintenance, provider data, data integrity, audit, validation, contract loading, reimbursement, provider contract, credentialing providers, provider relations, Southfield, MI, Michigan