UnitedHealthcare
CMHC, CCBHC, and Autism Provider Relations Advocate, Remote in KS
UnitedHealthcare, Overland Park, Kansas, United States, 66213
CMHC, CCBHC, and Autism Provider Relations Advocate (Remote, KS)
At UnitedHealthcare, we are simplifying the health care experience and creating healthier communities. This role involves advocating for CMHC, CCBHC, and Autism providers within our networks, improving service quality while managing costs. Primary Responsibilities
Assist in end‑to‑end provider claims processing and resolution. Enhance ease of use of physician portal and future service enhancements. Identify gaps in network composition and support network contracting and development teams. Use data and facts to identify and solve problems within this expertise area. Investigate non‑standard requests and problems, with assistance from others. Work exclusively within a specific knowledge area. Prioritize and organize work to meet deadlines. Provide explanations and information on topics within area of expertise. Analyze and investigate claim issues. Train providers on various topics in both small and large settings. Required Qualifications
2+ years’ experience working with medical providers. 1+ year of experience with Medicaid regulations. 1+ year experience providing training or education. 1+ year medical insurance claims/billing experience. Willingness and ability to speak and meet with providers directly on various topics. Intermediate proficiency in claims processing and issue resolution. Intermediate proficiency with MS Word, Excel, PowerPoint, and Access. Excellent written and oral communication skills. Ability to work independently with little supervision. Strong organization, planning, and prioritization skills. Ability to travel up to 25% within the state of Kansas. Driver’s license and reliable transportation. All remote employees must adhere to UnitedHealth Group’s Telecommuter Policy. Preferred Qualifications
2+ years of provider relations and/or provider network experience. 2+ years of Medicaid experience. 1+ year of Kansas Medicaid and Kansas billing requirements knowledge. Experience with CSP Facets. Knowledge of behavioral health billing. Intermediate level knowledge of MS Word, Excel, or PowerPoint. Intermediate claims processing and issue resolution skills. Telecommuter policy adherence. Pay and Benefits
Salary ranges from $58,800 to $105,000 annually (full‑time). Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions, subject to eligibility requirements. Senior Level
Entry level Employment Type
Full‑time Job Function
Legal Industries
Hospitals and Health Care UnitedHealth Group is an Equal Employment Opportunity employer under applicable law. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
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At UnitedHealthcare, we are simplifying the health care experience and creating healthier communities. This role involves advocating for CMHC, CCBHC, and Autism providers within our networks, improving service quality while managing costs. Primary Responsibilities
Assist in end‑to‑end provider claims processing and resolution. Enhance ease of use of physician portal and future service enhancements. Identify gaps in network composition and support network contracting and development teams. Use data and facts to identify and solve problems within this expertise area. Investigate non‑standard requests and problems, with assistance from others. Work exclusively within a specific knowledge area. Prioritize and organize work to meet deadlines. Provide explanations and information on topics within area of expertise. Analyze and investigate claim issues. Train providers on various topics in both small and large settings. Required Qualifications
2+ years’ experience working with medical providers. 1+ year of experience with Medicaid regulations. 1+ year experience providing training or education. 1+ year medical insurance claims/billing experience. Willingness and ability to speak and meet with providers directly on various topics. Intermediate proficiency in claims processing and issue resolution. Intermediate proficiency with MS Word, Excel, PowerPoint, and Access. Excellent written and oral communication skills. Ability to work independently with little supervision. Strong organization, planning, and prioritization skills. Ability to travel up to 25% within the state of Kansas. Driver’s license and reliable transportation. All remote employees must adhere to UnitedHealth Group’s Telecommuter Policy. Preferred Qualifications
2+ years of provider relations and/or provider network experience. 2+ years of Medicaid experience. 1+ year of Kansas Medicaid and Kansas billing requirements knowledge. Experience with CSP Facets. Knowledge of behavioral health billing. Intermediate level knowledge of MS Word, Excel, or PowerPoint. Intermediate claims processing and issue resolution skills. Telecommuter policy adherence. Pay and Benefits
Salary ranges from $58,800 to $105,000 annually (full‑time). Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contributions, subject to eligibility requirements. Senior Level
Entry level Employment Type
Full‑time Job Function
Legal Industries
Hospitals and Health Care UnitedHealth Group is an Equal Employment Opportunity employer under applicable law. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
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