At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

The Provider Data Specialist will maintain all new and existing provider demographics and financial affiliations records in the claims processing system(s). To ensure data integrity of all Information entered into the claims processing system as this information affects members, providers as well as any department within Peoples Health providing services to members and/or providers.

Primary Responsibilities:

• Works within the defined contract flow process to facilitate the timely completion of all provider affiliations activities related to provider contracting, including related Provider Trak activities
• Ensures that contractual documentation supplied by the contracting specialists within the Internal Contracting Form (ICF) is complete for the purpose of building accurate demographic and financial affiliations records for contracted providers
• Ensures that changes in existing contracted provider’s information supplied by the Contracting Specialists and the Provider Relations Representatives, within the Provider Information Change Form (PICF), is complete for the purpose of updating accurate demographic and financial records for participating providers
• Ensures all pended claims for all providers are reviewed and re-routed to the claims department to assure timely claims processing
• Enters/updates financial affiliations for all providers
• Completes daily pended claims queue reports for all providers
• Works closely with the Staff Auditor and manager to resolve errors
• Maintains a current status on all Learn Source course assignments
• Responsible for special projects and other duties as required by Management

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.

Required Qualifications:

• High School Diploma/GED (or higher) OR 2+ years of experience in a provider relations position
• 1+ year of experience in a provider relations position
• Intermediate level of proficiency in operating various desktop applications (MS Word, Outlook, Excel, Email packages)

Preferred Qualifications:

• Experience with Amisys

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. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado, Connecticut, Nevada or New York City Residents Only: The salary range for Colorado residents is $16.00 to $26.88. The salary range for Connecticut / Nevada / New York City residents is $16.83 to $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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