TELECOMMUTE – US National
Title: Provider Experience Manager – Remote
Dallas TX US
job category:Customer Service and Claims
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 Healthcare 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
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 8am – 5pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Prioritize inventory of selected claims by client to maximize revenue and to balance the financial targets established for 30+ different payer clients
Communicate (written and verbal), with hospitals to ensure smooth operations for obtaining medical records.
Build and manage relationships with hospital facilities and staff; use of soft skills and superior communication to leverage these relationships in efforts to smooth the audit operation process.
Manage selected claims inventory by client to prioritize workload.
Understand and apply different client rules where appropriate.
Conduct follow-up audit activities as needed, including outreach to facilitate the collection of medical records.
Ability to adjust to changing priorities by management in a face paced environment.
Update database to reflect current provider contacts.
Follow HIPAA protocol and minimize misdirection of PHI.
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.
HS Diploma / GED (or higher) OR 10 years of equivalent working experience
Experience with Microsoft Word (ability to create, edit, copy, send and save documents) and Microsoft Excel (ability to create, edit and save spreadsheets)
4+ years of experience in claims recovery and resolution
Required 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)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Colorado Residents Only:The hourly range for Colorado residents is $15.00 – $25.19. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting,…
Insurance , Insurance Claims , Medical & Health , Project Management