23 days old

Bilingual Provider Services Representative - Miami, FL - 894906

Miami, FL 33128
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  • Job Code
    894906

Welcome to one of the"toughest and most fulfilling ways to help people, including yourself. We offer"the latest tools, most intensive training program in the industry and nearly"limitless opportunities for advancement. Join us and start doingyour"life's best work.

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Positions in this"function are responsible for managing provider relations and supporting network"management department. Includes processing provider applications and re -"applications including initial mailing, review, and loading into the database"tracking system ensuring high quality standards are maintained. Conducts audits"and provides feedback to reduce errors and improve processes and performance.

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"Primary Responsibilities:

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  • 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
  • Help implement training and development of external"providers through education programs
  • Identify gaps in network composition and services"to assist network contracting and development teams
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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.

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Required Qualifications:


  • High School Diploma / GED
  • Bilingual in Spanish and English
  • 2+ years of experience with Microsoft Excel (sorting & filtering data)
  • 2+ years of experience with MicrosoftWord (create & edit documents)
  • Ability to work Monday - Friday, 8:30am - 5:30pm EST, with flexibility to work occasional overtime per business needs
  • You will be asked to perform this role in an office setting or other company location

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.




Preferred Qualifications:


  • Managed Care or Medical Insurance experience
  • Medicare experience
  • Basic medical terminology knowledge
  • Experience in Provider Network Management



UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.



Some of the steps we've taken to ensure employee well-being include:



  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
  • Fully cover the COVID-19 healthcare costs for our employees
  • Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home


You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our COVID-19 Resources Page: click here.



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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



Keywords: UHG, UHC, provider services representative, provider services, provider network, provider contracting, managed care, medical insurance, Miami, Florida, FL, hiring immediately


Posted: 2020-11-04 Expires: 2020-12-26

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Bilingual Provider Services Representative - Miami, FL - 894906

UnitedHealth Group
Miami, FL 33128

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