8 days old

Provider Reimbursement Representative - San Antonio, TX or Wausau, WI

San Antonio, TX 78205
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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 doing your life's best work. (sm)

It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealth Group. We're driving ever higher levels of sophistication in how provider networks are composed and compensated. You can help drive positive change in this role. You'll be part of a team that's out to assist company affiliates with initial deployment and ongoing support of systems and processes that leverage contracted national network rates and policies. Join us and you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

In this role, you'll work with both internal and external customers to identify and resolve complex problems.  You'll assist company affiliates with initial deployment and ongoing support of systems and processes to leverage national network rates and policies. Fee schedule and contract template maintenance is also included in this function.

You'll need to be able to work quickly and accurately. In order to effectively support manual claims repricing, you'll need to learn and adapt to a variety of platforms while working to meet aggressive performance objectives. 

Primary Responsibilities:
  • Assist with programs designed to ensure proper application of contracted rates and reimbursement policies for company affiliates
  • Analyze claims, pre and post payment, to ensure proper pricing of contracts, reimbursement policies and procedures
  • Review claim disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors
  • Recommend system changes, training and process improvements to prevent future errors
  • Act as a technical resource to others and proactively identify solutions to non - standard requests
  • Frequently complete work without established procedures
  • Work independently
  • May act as a resource for others
  • May coordinate others' activities

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.


Posted: 2020-03-20 Expires: 2020-04-20

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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Provider Reimbursement Representative - San Antonio, TX or Wausau, WI

UnitedHealth Group
San Antonio, TX 78205

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