Provider Relations Representative - Oxnard, CA
UnitedHealth Group
- Oxnard, CA
- $16.54-32.55 per hour
- Permanent
- Full-time
- Assist in efforts to enhance ease of use of physician portal and future services enhancements
- Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues
- Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face-to-face visits, emails, telephone calls, etc.
- Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers
- May also be involved in identifying and remediating operational short-falls and researching and remediating claims
- High School Diploma/GED (or higher)
- 2+ years of account management experience working with a medical group or IPA in a managed care environment
- 2+ years of experience working in a similar position in the healthcare industry or in customer service supporting providers and their offices
- 2+ years of experience in customer service in a health care setting
- 2+ years of experience with managed care and self-insurance products and benefits
- Ability to work in office 2-3 days a week at 1901 Solar Dr. Ste 200 Oxnard, CA 93036
- Ability to travel 20-30% of the time
- Experience working with HMO/IPA as well as health plan knowledge
- Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration
- Organizational skills
- Project management