Provider Relations Advocate – Kansas

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Schedule: Monday- Friday, 8:00am-5:00pm CST.

Travel: Up to 25%. Candidates must live in Kansas or within 50 miles of the state border.

If you reside near the state of Kansas or within 50 miles of the Kansas state border, you will enjoy the flexibility to telecommute* as you take on some tough challenges

Primary Responsibilities:

• Assist in end-to-end provider claims processing and resolution
• Assist in efforts to enhance ease of use of physician portal and future services enhancements
• Assist in identifying gaps in network composition and services to support network contracting and development teams
• 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
• 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 
• Provide explanations and information to others on topics within area of expertise
• Analyzes and investigates claim issues
• Responsible for training providers on a variety of topics in both small and large settings 

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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)
• 2+ years of experience working with Medical/Behavioral Health providers
• 1+ years of experience with Medicaid Regulations and Kansas Medicaid billing requirements
• 1+ years of experience in providing training or education
• 1+ years of experience with both professional and institutional Medical/Behavioral Health claims/billing
• Intermediate level of proficiency in claims processing and issue resolution
• Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access
• Ability to travel up to 25% of the time within the state of KS
• Reside in the state of Kansas or within 50 miles of the Kansas state border

Preferred Qualifications:

• Previous experience with CSP Facets
• Previous experience with NDB
• 2+ years of experience with KS Medicaid 
• 2+ years of provider relations and / or network management
• 2+ years of experience of both professional and institutional Medical claims/billing experience
• Intermediate level of issue resolution

Soft Skills:

• Excellent written and oral communication skills
• Ability to work independently and remain on task with little to no day-to-day supervision
• Good organization, planning skills
• Ability to prioritize and meet deadlines from multi staff members through the department
• Exceptional presentation, written and verbal communication skills

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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. 

 

 

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