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Provider Installation Representative - San Antonio, TX

UnitedHealth Group

UnitedHealth Group

Provider Installation Representative - San Antonio, TX

San Antonio, TX
Full Time
Paid
  • Responsibilities

    POSITION DESCRIPTION WELLMED was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. The PROVIDER INSTALLATION REPRESENTATIVE supports network contracting teams through contract processing, analysis, maintenance and data management required for contract execution and system loading. PRIMARY RESPONSIBILITIES:

    • Reviews submitted contracts and supporting documentation for completeness for the purpose of initiating the provider credentialing and approval process
    • Responsible for accurate and timely multi-system data entry of provider contract information in accordance with departmental policies and procedures to include delegated providers
    • Responsible for database entry and provider directory maintenance, assuring that all providers included are accurately reflected according to departmental policies and procedures
    • Maintains provider contract files in accordance with the standards set forth by internal policies and procedures and external regulatory requirements
    • Appropriately notifies all departments regarding contract adds, terms and changes
    • Maintains a working knowledge of contracting policies, procedures and process, in an effort to provide cross functional support to the contract services team on an as needed basis
    • Responds to help desk inquiries in a timely and accurate manner. Appropriately escalates and follows through with complex issues
    • Participates in continuous quality impr ovement efforts with an open mind and positive attitude
    • Meets or exceeds departmental timeframes and quality metrics on a consistent basis
    • Performs all other related duties as assigned

    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)
    • 3+ years with HealthCare background experience preferably in contracts

    PREFERRED QUALIFICATIONS:

    • 3+ years of administrative, database and data entry experience in contract loading / knowledge or in a managed health care setting or related environment
    • Customer Service experience

    SOFT SKILLS:

    • Detail - oriented, well - organized and have the ability to multi - task effectively
    • Ability to maintain confidentiality while working with sensitive information

    CAREERS WITH WELLMED. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi - specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do YOUR LIFE'S BEST WORK.(SM) 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. Job Keywords: Optum, WellMed, Provider Install, Customer Service, Credentialing, Contracts Job Details

    • CONTEST NUMBER 843211
    • JOB TITLE Provider Installation Representative - San Antonio, TX
    • JOB FAMILY Network Contract Installation
    • BUSINESS SEGMENT OptumCare

    Job Location Information

    • San Antonio, TX United States North America

    Additional Job Detail Information

    • EMPLOYEE STATUS Regular
    • SCHEDULE Full-time
    • JOB LEVEL Individual Contributor
    • SHIFT Day Job
    • TRAVEL No
    • TELECOMMUTER POSITION No
    • OVERTIME STATUS Non-exempt
  • Related Video
  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.