Provider Service Representative

Provider Service Representative

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

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. Senior Provider Service Representatives assist in building and nurturing 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. Positions in this function are responsible for day-to-day communication with the health plan and its provider network.

If you are located within a commutable distance to 2720 N Tenaya Way, Las Vegas, Nevada, you will have the flexibility to work hybrid with expectation to work in office 3 days per week.

Primary Responsibilities

• Apply knowledge/skills to a range of moderately complex activities
• Demonstrate great depth of knowledge/skills in own function
• Sometimes act as a technical resource to others in own function
• 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
• May coordinate work of other team members
• Normal office environment
• Extensive work experience within own function
• Work is frequently completed without established procedures
• Works independently
• May act as a resource for others
• May coordinate other activities

Required Qualifications

• High School Diploma/GED (or higher) OR 5+ years of managed care or medical insurance experience
• 2+ years of experience with managed care or medical insurance
• 2+ years of experience in a customer service or provider support role
• Intermediate level of proficiency with Microsoft Word and Excel
• Reside within a commutable distance to 2720 N Tenaya Way, Las Vegas, Nevada

Preferred Qualifications

• Experience with provider relations or provider contracting
• Experience with health insurance provider claims
• Type at least 50 wpm

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.