3 days old

Provider Relations Advocate - Kansas Telecommuter - 932559

Overland Park, KS 66204 Work Remotely
Apply Now
Apply on the Company Site
  • Job Code
    932559

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

""

Primary 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
  • "
""

Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.

"

Required Qualifications

""
    ""
  • Undergraduate degree or 2 years equivalent experience
  • ""
  • 2+ years of experience working with Medical Providers
  • ""
  • 1+ years experience with Medicaid Regulations and Kansas Medicaid billing requirements
  • ""
  • Proficiency of MS Outlook (send calendar invites, send WebEx meetings, etc.)
  • ""
  • 1+ year experience in providing training or education
  • ""
  • 1+ insurance claims experience
  • ""
  • Ability to travel on up to 50% of the time within the State of KS
  • ""
  • Excellent written and oral communication skills
  • ""
  • Ability to work independently and remain on task with little to no day to day supervision
  • ""
  • 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
  • "
""

""

Preferred Qualifications

""
    ""
  • Previous experience with CSP Facets
  • ""
  • Intermediate level knowledge MS Word, Excel, PowerPoint
  • ""
  • 3+ years of KS Medicaid
  • ""
  • 3+ years knowledge of Medicaid Regulations and Kansas Medicaid billing requirements
  • ""
  • Intermediate level of claims processing and issue resolution
  • ""
  • 2+ years of provider relations and / or provider network experience
  • "
""

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.SM
"
"Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

""


"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.

Posted: 2021-06-11 Expires: 2021-07-11

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.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Provider Relations Advocate - Kansas Telecommuter - 932559

UnitedHealth Group
Overland Park, KS 66204

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast