Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)
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.The Hospital Facility Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Hospital Facility Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. In this role you will be expected to:- 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 the Northern California knowledge area .- Prioritize and organize own work to meet deadlines.- Provide explanations and information to others on topics within area of expertise.
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.
Qualifications:
Requirements:- Undergraduate degree preferred
- Must have experience with Hospital billing, registration and charge management systems
- Preferred candidate will also have knowledge and experience working with Hospital /Health plan contracts- 2+ years of provider relations and/or provider network experience.- Intermediate level of proficiency in claims processing and issue resolution.- 1+ years experience with Medicare and Medicaid regulations.- Exceptional presentation, written and verbal communication skills.- Ability to work independently and remain on task.- Good organization and planning skills.- Ability to prioritize and meet deadlines from multi-staff members within the department.- Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access.
please reply to job6702@gmail.com