Provider Relations Service Advocate - North Carolina Medicaid - Telecommute

Company: UnitedHealth Group
Location: San Diego
Posted on: September 24, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services, and our endless pursuit for excellence in everything we do extends to your career as well. Represents both government and commercial products to build and improve physician and practice manager satisfaction for UHG. This externally focused position is assigned to a market of providers and will maximize the providers' ability to -interact with UHG. If you are located in North Carolina and South Carolina, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:

• Acts as a UHG "navigational" specialist who is externally focused on assigned providers maximizing the providers' ability to interact with UHG: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
• Provider Education
• Conducts new provider education including robust training programs such as Quarterly webinars/Lunch and Learn/telephonic or in person seminars
• Educates providers on common billing -practice errors
• Educates/answers questions related to total affordability initiatives
• Educates providers on reimbursement policies
• Educates and drives adoption of self service tools -
• Service Model Support:
• Educate providers on service model/drive adoption/Conduit to assist when service fails
• Drives providers to the standard process but supplements and supports as necessary
• Partners internally with information exchange when UHG has failed on service
• Active participant on JOC and HP3 programs -
• Conduit for provider issues that cross multiple platforms and/or result from integrations 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. Please review the required qualifications as posted below. To be eligible to apply and be reviewed for the position, the candidate must meet or exceed all posted required qualifications listed. - We value your time and interest in this position and thank you again for taking the time to review the job posting. Required Qualifications:
  • College degree in Health Administration, Business or related preferred or equivalent experience -
  • 1+ years experience working with claims data and inaccurate payments facing out to the provider may be considered
  • Basic knowledge of CPT and ICD-9 coding
  • Understanding of how a claim is built and paid
  • Understanding of practice management operations
  • Ability to travel locally -frequently - generally on a daily basis (company car not provided) -
  • Solid p.c. skills in Word, Excel and Powerpoint Preferred Qualifications:
    • CMPE (Certification of Medical Practice Executive)
    • 2+ years of experience as a Physician or Hospital Billing Manager or Medical Practice Administrator -
    • North or South Carolina residency
    • Solid relationship building skills and highly developed customer focus skills
    • Highly developed presentation skills -
    • Solid self management skills, ability to handle rapid change and an affinity for continuous learning To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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: UnitedHealth Group, San Diego , Provider Relations Service Advocate - North Carolina Medicaid - Telecommute, Other , San Diego, California