UnitedHealthcare · 1 day ago
Provider Relations Advocate - Remote in KS
United States
Full-time
Remote
Entry, Mid Level
$59K/yr - $105K/yr
2+ years expUnitedHealthcare is focused on simplifying the health care experience and creating healthier communities. The Provider Relations Advocate will serve as an advocate for providers, assisting in claims processing, enhancing physician portal usability, and training providers on various topics.
FitnessHealth CareWellness
Responsibilities
Assist in end-to-end provider claims processing and resolution
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Assist in identifying gaps in network composition and services to support network contracting and development teams
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
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
Provide explanations and information to others on topics within area of expertise
Analyzes and investigates claim issues
Responsible for training providers on a variety of topics in both small and large settings
Qualification
Required
2+ years of experience working with Medical Providers
1+ years of experience with Medicaid Regulations
1+ years of experience in providing training or education
1+ years of medical insurance claims/billing experience
Willingness and ability to speak and meet with Providers directly on a variety of topics
Demonstrated excellent written and oral communication skills
Ability to work independently and remain on task with little to no day to day supervision
Demonstrated good organization, planning skills
Ability to prioritize and meet deadlines from multi staff members through the department
Intermediate level of proficiency in claims processing and issue resolution
Exceptional presentation, written and verbal communication skills
Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access
Driver's license and access to reliable transportation
Ability to travel on up to 25% of the time within the State of KS
Preferred
2+ years of provider relations and / or provider network experience
2+ years of experience of Medicaid experience
1+ years of KS Medicaid and Kansas Billing requirements
Previous experience with CSP Facets
Intermediate level knowledge MS Word, Excel, PowerPoint
Intermediate level of claims processing and issue resolution
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
R
Rebecca Madsen
Chief Consumer Officer
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