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Job Information

UnitedHealth Group Provider Service Representative - Draper, Salt Lake City, Utah in Draper, Utah

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Representative role with United Health Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We’re building better, more effective provider networks every day. In this role, you’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks.

If you are located within the state of Utah, you will have the opportunity to work with a team to take on some exciting challenges.

Primary Responsibilities:

  • Assist in end-to-end on provider claims, provider information updates and help enhance call quality

  • Assist in efforts to enhance ease of use of Provider Connect, MyAvatar and future services enhancements

  • Assist in configuration of both rendering and contracting providers in MyAvatar, FACETS and provider directories

  • Help implement training and development of external providers through education programs

  • Manage Provider questions through email box and phone calls and respond or connect with best resources

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 above

  • 1+ years of health care / managed care experience

  • 1+ years of provider relations and/or provider network experience

  • Intermediate level of proficiency in claims processing and issue resolution

  • 1+ years of experience with Medicare and Medicaid regulations

  • Proficiency with MS Word, Excel, PowerPoint and Access

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications :

  • Undergraduate degree

  • Behavioral Healthcare Experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

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.

Job Keywords: provider relations, Medicaid and medicare, Salt Lake County, UT, Utah, #RPO

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