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Associate Provider Service Representative - La Palma, CA

UnitedHealth Group

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Job Details

Associate Provider Service Representative - La Palma, CA(Job Number:726385)

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.


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)


The Associate Provider Service Representative is responsible for assisting in 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. Associate Provider Service Representatives assist in the design and implementation of programs designed to build and nurture positive relationships between the medical group, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify 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:

  • Apply knowledge/skills to basic, repeated activities
  • Demonstrate minimum depth of knowledge and skills in own function
  • Respond to standard requests
  • Require assistance in responding to non-standard requests
  • Solve routine problems by following established procedures
  • Others prioritize and set deadlines for employee
  • Work with others as part of a team

Primary Responsibilities:

  • Resolving Provider Claims Issues
  • Assisting in Credentialing Process
  • Assist with mass mailing projects
  • Create usernames and passwords for Aerial
  • Assist with provider events
  • Run claims reports
  • Manage check requests
  • Other Duties as assigned

Job Provider Relations and Service
Primary Location US-CA-LA PALMA
Other Location 
Organization AppleCare
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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