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Career Job in Boise, Idaho : ID

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Provider Service Representative - Boise, Id

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UnitedHealth Group
Health Care
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Provider Service Representative - Boise, Id Job Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  

You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.

Primary Responsibilities:

  • Assist Regional Network Managers to contract providers, add new services, roster all clinicians and manage lists of paraprofessionals;

  • Manage claims inquiries from Providers and monitor updates of fee schedules;

  • Facilitate contractually required trainings for the Provider Network through web-ex and on-site meetings

  • Coordinate the Provider Advisory Committee including sending agendas and taking minutes in the monthly meeting;

  • Manage communications to Provider Network;  

  • Manage the Provider Manual and all updates to include the new services and information on the Youth Empowerment Services;

  • Update all electronic systems with Network Documents including Optum Idaho website, Network Sharepoint sites for policies, fee schedules and other guiding documents;  

  • Assist with projects for the Network Team as they arise

Required Qualifications:

  • High School Diploma/GED

  • Understanding of claims processing and issue resolution

  • Intermediate level of proficiency with Microsoft Word (creating and editing docs) and Excel (sort, manipulate data, and utilize formulas for calculations)

Preferred Qualifications:

  • Bachelor's Degree (or higher)

  • Previous provider relations and/or provider network experience

  • Proficiency with PowerPoint - create and edit presentations

  • Comfortable working with database/ data systems

  • Advanced proficiency with Excel - create Pivot Tables and VLOOKUPs

Soft Skills:

  • Excellent presentation, written and verbal communication skills

  • Ability to work independently and remain on task

  • Good organization and planning skills

  • Ability to prioritize and meet deadlines

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.

Keywords:  healthcare, insurance, managed care, network management, provider relations,Network Development, network services, claims,UHG, Boise, Idaho, issue resolution

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Provider Service Representative - Boise, Id Job Requirements

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