Provider Service Representative - Richardson, TX

Requisition Number: 2386599
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 to start Caring. Connecting. Growing together.
Primary Responsibilities:

• Capable of maintaining production set by the department and meeting established turnaround times.
• Plan, prioritize, organize, and complete work to meet established objectives
• Transfer data from multiple systems into a single system
• Verify data by comparing it to source documents
• Knowledgeable with Repricing systems and develop basic skills in the Repricing area.
• General Expectations:
  • Apply knowledge / skills to a range of complex activities
  • Demonstrate depth of knowledge/skills in assessing contracts and applying appropriate rates
  • Solve complex problems on own
  • Collaborate with team to solve complex problems
  • Independently manage time and tasks
• Coordinate work of other team members when necessary

What are the reasons to consider working for UnitedHealth Group? Put it all together - 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 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
• Intermediate level of proficiency with Microsoft Excel (sort & filter data) and Microsoft Word (create & edit documents)
• Ability to key a minimum of 17 claims per hour and 119 claims per day
• Ability to start shift between 6:30 am - 8:00 am, working 8 hours per day, 40 hours per week, Monday through Friday

Preferred Qualifications:

• Some college (or higher)
• 1+ years of experience in data entry
• 1+ year of experience in healthcare claims research, analysis & or reporting
• 1+ year of experience in interpreting reimbursement methodologies and rates as outlined in provider agreements

Soft Skills

• Ability to proactively identify solutions to non-standard requests
• Ability to act as a technical resource to others in assessing contracts and applying appropriate rates
• Comfortable learning new technology
• Excellent organizational skills
• Good time - management skills
• Sense of ownership and pride in your performance and its impact on company's success
• Detail oriented
• Strong research and analytical skills
• Excellent written and verbal communication skills
• Comfortable with accepting and applying constructive developmental guidance
• Excellent interpersonal skills at both an individual and team level
• Good command of English both oral and written and customer service skills
• Ability to handle a fast-paced environment with pressure based on project deadlines
• Experience with repricing and NDB a plus

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
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