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Provider Services Coordinator - Redlands, CA

Company: UnitedHealth Group
Location: Redlands
Posted on: March 24, 2020

Job Description:

Position Description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Provider Services Coordinator is directly responsible for all provider services support functions in the local market place representing the organization and functioning as a key member of the local field office. Working directly with the local Provider Service Representatives (PSR) to add maximum value to the IPA physicians. Provider Service Representative in training and able to assume PSR floater role within six months of assuming PSC position.

Primary Responsibilities:

Maximizes the efficiency and effectiveness of the Provider Service Representatives job duties by providing internal support of key functions Manage all PSR reports and provider analysis requirements for the Executive Director and local market PSRs based on guidelines established, including management of external report generation and distribution Ensure accurate monthly capitation payments to the providers including management of capitation deducts Compile individual provider quality performance incentive information to assure maximum compliance and optimization of provider incentives Manage external provider education meetings as established in guidelines including but not limited to orientations and office manager meetings Manage provider contracts, LOAs, and MOUs as deemed appropriate by the Executive Director, including tracking of credentialing and contract documents Train with PSRs on their job duties to provide ability to assume PSR role in the future and to provide coverage when PSRs are unavailable (i.e. PTO, sick days, etc.) Assist in end-to-end provider claims resolution and Pre-check Run Reviews and assist Providers with claims concerns Monitor utilization of resources for department by coordinating ordering of all supplies Responsible for monitoring office equipment repair & maintenance scheduling Act as go-between for providers if they have issues with the NAMM Provider Portal, including account setup and maintenance Triage provider and office related issues for guidance Manage & coordinate any new projects or initiatives as directed 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:

1 - 2+ years of experience in any of the following areas: Administrative Assistant experience supporting multiple individuals Customer Service in a professional office environment Healthcare industry experience Intermediate Outlook Calendar skills for setting up meetings with multiple participants Intermediate proficiency in Excel and Word

Preferred Qualifications:

2+ years' experience in Managed Care Claims or Medical Billing experience Knowledgeable in CPT and ICD-10 codes Trustworthy and able to maintain confidentiality at all times Individually identifies and resolves problems effectively and in a timely manner Able to prioritize multiple tasks Excellent people skills. Ability to interact professionally with peers, management, providers, and vendors Excellent organizational and communication skills in a high paced environment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Healthcare, Provider Services, Executive Admin, administrative, filing, appointments, scheduling, agenda, expense reports, correspondence, Excel, PowerPoint

PandoLogic.Category: Marketing & Biz Dev, Keywords: Provider Relations Representative

Keywords: UnitedHealth Group, Redlands , Provider Services Coordinator - Redlands, CA, Other , Redlands, California

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