Tier 2 Senior Provider Service Representative - National Remote

Job title: Tier 2 Senior Provider Service Representative - National Remote in San Antonio, TX at UnitedHealth Group
Company: UnitedHealth Group
Job description: At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.Get ready for some significant challenge. You'll ensure provider service quality by working with them to resolve issues, deliver educational materials and contribute to projects that enhance overall operational effectiveness.Schedule is Monday-Friday standard business hours. No nights, no weekends and no holidays!You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:

• 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
• Act as a technical resource to others
• 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

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

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.Required Qualifications:

• High School Diploma/GED (or higher)
• 4+ years of managed care (MCO) or medical insurance experience
• 2+ years of experience in a claims, customer service or provider support role
• Intermediate level of professional verbal communication skills including telephone etiquette & email
• Intermediate level of proficiency with MS programs, including Excel and Word

Preferred Qualifications:

• Certified Billing and Coding Specialist (CBCS)
• Certified Medical Office Manager (CMOM)
• Certified Coding Specialist (CCS)
• Certified Microsoft Office Specialist: Expert (Office 365 and Office 2019)
• Certified Medical Administrative Assistant (CMAA)

Soft Skills:

• Time management
• Top notch organization skills

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.For more information on our Internal Job Posting Policy, .The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.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.#RPO #GREEN
Expected salary: $19.86 - 38.85 per hour
Location: San Antonio, TX
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