UnitedHealth Group Bilingual Provider Services Representative - Miami, FL in Miami, Florida
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
Positions in this function are responsible for managing provider relations and supporting network management department. Includes processing provider applications and re - applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Conducts audits and provides feedback to reduce errors and improve processes and performance.
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
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
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.
High School Diploma / GED
Bilingual in Spanish and English
2+ years of experience with Microsoft Excel (sorting & filtering data)
2+ years of experience with Microsoft Word (create & edit documents)
Ability to work Monday - Friday, 8:30am - 5:30pm EST, with flexibility to work occasional overtime per business needs
You will be asked to perform this role in an office setting or other company location.
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas, In addition, employees must comply with any state and local masking orders.
Managed Care or Medical Insurance experience
Basic medical terminology knowledge
Experience in Provider Network Management
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here (https://www.unitedhealthgroup.com/newsroom/addressing-covid.html) .
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: UHG, UHC, provider services representative, provider services, provider network, provider contracting, managed care, medical insurance, #RPO
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