Senior Provider Service Representative - 2204387

Location

Draper, UT | United States

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. SM

Location: 12921 S Vista Station Blvd., Draper, UT 84020

Schedule: 8am to 5pm MST, in office Tuesday through Thursday and remote Monday and Friday

If you reside near Draper UT, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

Primary Responsibilities :

• Basic knowledge of network providers and levels of care 
• Basic understanding of provider Utah Medicaid Requirements 
• Assist in end-to-end provider claims and help enhance call quality
• Assist in the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
• Support development and management of provider networks for both Salt Lake and Tooele Counties
• Help implement and host training and development of external providers through education programs
• Identify gaps in network composition and services to assist network contracting and development teams
• Manage provider voicemail and email communications
• Work with Network Team to problem solve provider barriers and issues to resolve provider billing concerns
• Provide configuration of provider information into MyAvatar system

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)
• 4+ years of managed care or medical insurance experience
• 2+ years of experience in a claims, customer service or provider support role
• Intermediate level of proficiency with MS programs, including Excel and Word    
• Ability to work in office at 12921 S Vista Station Blvd., Draper, UT 84020 Tuesday-Thursday

Preferred Qualifications: 

• Proven verbal communication skills including telephone etiquette
• Medicaid experience 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

#RPO #Yellow

Job tags

Salary