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Provider Reimbursement Coordinator - Plano, TX

UnitedHealth Group

Plano, TX
Job Code:
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Job Details

739809 Provider Reimbursement Coordinator Plano TX

Provider Reimbursement Coordinator - Plano, TX (739809)

Position Description

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

The Provider Reimbursement Coordinator is responsible for activities associated with developing programs, policies and strategies to ensure that contracted rates and reimbursement policies are applied accurately for company affiliates. Provider Reimbursement Coordinators support those who analyze claims, pre and post payment, to ensure contracts and reimbursement policies and procedures are priced accurately; review claim disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors; recommend system changes, training and process improvements to prevent future errors; work with both internal and external customers to identify and resolve complex problems; assist company affiliates with initial deployment and ongoing support of systems and processes to leverage national network rates and policies. Other responsibilities may include involvement with fee schedule and contract template maintenance.

Primary Responsibilities:
  • knowledge / skills to activities that often vary from day to day
  • Multitask
  • Demonstrate a moderate level of knowledge and skills in Microsoft (Excel, Word, etc.)
  • Require little assistance with standard and non-standard requests
  • Solve routine problems on own
  • Work with supervisor to solve more complex problems
  • Prioritize and organize own work to meet agreed upon deadlines
  • Work with others as part of a team
 Required Qualifications: 
  • High School Diploma / GED (or higher)
  • Intermediate proficiency with computer, Windows PC applications, and numeric 10 key, which includes the ability to learn new and complex computer system applications
  • Customer Service experience
Preferred Qualifications:
  • Healthcare customer service experience
Soft Skills: 
  • Strong computer skills, including working knowledge of MS Windows and strong mouse and keyboarding skills
  • Must have ability to remain focused as tasks are repetitive
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.

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.

Keywords: Provider Reimbursement Coordinator, Plano, UnitedHealth Group, Healthcare, Customer Service, Claims, Reimbursement

Job Details

  • Contest Number739809
  • Job TitleProvider Reimbursement Coordinator - Plano, TX
  • Job FamilyNetwork Management
  • Business SegmentEmployer and Individual

Job Location Information

  • Plano, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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