Provider Service Representative
California Staffing, Ontario, California, United States, 91761
Join Optum
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Caring. Connecting. Growing together. Schedule: Monday - Friday 8:00AM - 5:00PM Location: 3990 Concours Suite 500, Ontario, CA Primary Responsibilities
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 All other duties as assigned Reasons To Consider Working For UnitedHealth Group
Competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 higher) 3+ years of managed care or medical insurance experience with provider network management (to include provider claims, credentialing, contract documentation and configuration processing required. Knowledgeable of HMO, Commercial, Medicare, Medicaid lines of business) 1+ years of experience with communication skills including telephone etiquette Intermediate level of proficiency with Microsoft Office programs including Excel and Word Preferred Qualifications
Bilingual (English/Spanish) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and 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, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Caring. Connecting. Growing together. Schedule: Monday - Friday 8:00AM - 5:00PM Location: 3990 Concours Suite 500, Ontario, CA Primary Responsibilities
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 All other duties as assigned Reasons To Consider Working For UnitedHealth Group
Competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 higher) 3+ years of managed care or medical insurance experience with provider network management (to include provider claims, credentialing, contract documentation and configuration processing required. Knowledgeable of HMO, Commercial, Medicare, Medicaid lines of business) 1+ years of experience with communication skills including telephone etiquette Intermediate level of proficiency with Microsoft Office programs including Excel and Word Preferred Qualifications
Bilingual (English/Spanish) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and 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, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.