Job: Provider Installation Specialist - U.S.

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Jobing Description

Position Description:

The Provider Installation Specialist is responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Provider Installation Specialists are also responsible for overall provider contract and amendment loading and processing using various databases. Responsibilities may also include auditing contract loads for adherence to quality measurers and reporting standards.


Responsible for all direct to COSMOS loads and/or Facets loads requiring work around the SmartPricer and all nonFacets pricing components such as APC, Composite APC, AWP, HSS, and WebStrat. It will allow us to use two additional loaders (ancillary and facility) that will be focused on clean loading that does not require IT interface and building of new products for expansion of FL of which is slated for Q1 2012.


Primary Responsibilities:

• Use pertinent data and facts to identify and solve a range of problems within area of expertise.


• Investigate non-standard requests and problems, with some assistance from others.


• Work exclusively within a specific knowledge area .


• Prioritize and organize own work to meet deadlines.


• Provide explanations and information to others on topics within area of expertise.

UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:

UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.

UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.

UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.

Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.

Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Skills / Requirements

Requirements:

• Some college is required


• 2+ years of managed care insurance experience; i.e. someone who completely comprehends the insurance business and understanding medical terminology


• Intermediate level of proficiency with MS Word and Excel; i.e. Word - creating and editing Word documents; Excel - creating spreadsheets, performing data entry, etc.

Assets:

• Customer service experience


• Medical billing experience


• Credentialing and provider relations experience

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V



UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.