Provider Installation Coordinator - UnitedHealth Group
Wausau, WI 54402
About the Job
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 and start doing your life’s best work.SM
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
The Provider Installation Coordinator is responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Provider Installation Coordinators are also responsible for overall provider contract and amendment loading and processing using various databases. Responsibilities may also include auditing contract loads for adherence to quality measures and reporting standards.
Schedule: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 7:00pm CST. It may be necessary, given the business need, to work occasional overtime.
Primary Responsibilities:
- Maintain provider and facility information in company systems within accepted quantity and quality guidelines
- Research and update billing and contracting information for provider medical claims
- Apply knowledge / skills to activities that often vary from day to day
- Solve routine problems independently and work with supervisor to solve more complex problems
- Interact with Provider Relations, Network Access and Claim Units
- Attention to detail and the ability to meet goals with a variety of responsibilities
- Show consistent professionalism and good judgment
- Work with others as part of a team
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) OR 3+ years of managed care or health care insurance experience
- 1+ year of managed care or health care insurance experience
- 1+ year of data analysis experience within the healthcare industry
- 6+ months of medical claims experience (credentialing of a provider or practice, HCFA forms (1500 Form), UB or hospital claims forms, reimbursement claim forms) , where Data entry and 10 - key was used
- 6+ months experience working in a production environment meeting productivity and quality goals
- Ability to work full-time, Monday - Friday between 8:00am – 7:00pm including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
- Experience with Microsoft Office Suite Microsoft Word (ability to create and edit documents) and Microsoft Excel (ability to sort, filter, create tables and search data)
- Experience with updating provider records
- Experience working with healthcare provider data
- Experience in medical claims processing
- Experience training/mentoring peers
Telecommuting Requirements:
- Ability to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
- Strong interpersonal and oral communication skills including telephone etiquette
- Strong organizational skills, ability to prioritize and meet deadlines
- Must have excellent research, investigation, problem solving and critical thinking skills
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, New York City, New York or Washington residents is $16.00 to $31.44 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
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.
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