UnitedHealth Group Provider Installation Representative - Eden Prairie MN or Eau Claire, WI in Eden Prairie, Minnesota
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.
The Provider Installation Representative is responsible for various activities related to the Provider Network database which may include: database maintenance, reporting and extracting data for various reports and analyses, and initiating database improvement. The Provider Installation Representative will develop and maintain standards for database integrity and quality assurance, coordinate corrective activities to clean database and retain users, and manage communication processes with other departments regarding database improvements. Other responsibilities include: conducting audits and providing feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on company IT projects, reporting and tracking provider calls and complaints, or for the support, coordination, and production of the paper directory cycles.
Maintenance of all provider records within the health plan system(s). Includes: setup of demographic and specialty information, panel information (if applicable), line of business and fee schedule as instructed
Assist in ensuring that Provider Directories and regulatory requirements are accurate and that errors are root caused and discussed at the global level to ensure appropriate corrections and improvements are made
Data integrity and quality assurance
Request for new or updates to provider records must completed within business mandated service level agreements
Other assignments and projects as requested
Solve routine problems on own
Work with supervisor to solve more complex problems
High School Diploma / GED (or higher)
1+ year of Customer Service experience
1+ years of data entry experience
Proficiency with Microsoft Excel (filter, sort, create and edit spreadsheets)
Ability to work 8 hour shifts during the core business hours: Monday - Friday 6:30 am - 5:00 pm
1+ years of previous experience in a healthcare setting particularly with managed care systems
Knowledge of Medicaid / Medicare / Commercial rules and regulations
Previous experience working in a production and quality environment
Ability to utilize complex database systems and claims platforms simultaneously including, but not limited to OHBS and CSP Facets, COSMOS, and NDB
Strong research, follow - up, documentation, and issue resolution skills
Strong root cause analysis skills including the ability to take complex matters and format simplified key concepts to provide clear guidance to internal customers
Multi - tasking and applying attention to detail
Ability to work independently and as a team player
Excellent written and verbal communication skills
Solid analytical and problem - solving skills using reasoning and available resources to resolve issues
Independently prioritize and organize own work to complete daily tasks within required business mandated time frames
Ability to think independently and is not afraid to ask questions with the goal of continuous improvement in mind
Ability to effectively adapt and adjust to changing business needs
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.
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 o pass a drug test before beginning employment.
Keywords: UnitedHealth Group, Eden Prairie, Data Entry, Claims, Customer Service, audits, reports, CSP Facets, COSMOS, NDB