19 days old

Provider Services Coordinator - Murrieta, CA

Murrieta, CA 92562
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  • Job Code
    864860
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 even higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your knowledge of insurance claims and customer service to help create strong relationships with the providers in our networks. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader. 

Primary Responsibilities:
  • Assist in end-to-end provider claims and help enhance call quality
  • Pre-check Run Reviews and assist Providers with claims concerns
  • Review amendments, obtaining necessary documentation, signatures.  Distribute to provider and Contracting
  • Track Provider credentialing and follow up
  • Organizes programs, events, meetings and/or conferences, including preparing agendas, presentations/visual aids, notices, minutes and resolutions, plus setting up and catering.
  • Maintain insurance coverage
  • Monitor utilization of resources for department by coordinating ordering of all supplies
  • Responsible for monitoring office equipment repair & maintenance scheduling
  • Maintain portal for authorizations, updates, password resets and account creation requests  (Act as go-between for providers and help desk)
  • Provide phone coverage
  • Problem solve- provider and office escalated issues/ guidance
  • Manage & coordinate any new projects or initiatives implemented by senior management
  • Additional projects deemed necessary to promote contractual provider relationships and NPS 

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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Posted: 2020-03-18 Expires: 2020-04-18

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 Services Coordinator - Murrieta, CA

UnitedHealth Group
Murrieta, CA 92562

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