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Provider Service Representative - March Vision Care - Los Angeles, CA

UnitedHealth Group

Los Angeles, CA
Job Code:
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Job Details

Provider Service Representative - March Vision Care - Los Angeles, CA(Job Number:722431)

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 Service Representative is responsible for contracting with providers on a statewide basis including the distribution and processing of contracts for signature, ensuring all documentation is received and valid and responding timely to internal and external inquiries. This position is also responsible for following all department and company policies; proactively and reactively seeking appropriate solutions to existing issues; fully accountable for maintaining positive working relationships with external and internal customers.

Primary Responsibilities:
  • Performs assigned tasks to implement new provider networks and to maintain necessary network access levels in accordance with internal and external performance standards. These tasks include, but are not limited to; provider contracting calls, provider recruiting, ensuring contract compliance and integrity.
  • Communicates contract terms, reimbursement rates and benefits to provider community clearly and professionally.
  • Initiates, generates and tracks provider service agreements, amendments or letters of intent from initial draft to full execution.
  • Coordinates preparation and routing of documents to complete the contracting process in a timely and thorough manner.
  • Ensures executed contracts are administered timely and accurately within MARCH.
  • Performs precise entry of provider and vendor information to ensure accurate provider rosters and overall data integrity.
  • Follows and supports the guidelines set by the department and organization to ensure overall goals are met.
  • Performs network adequacy analysis as necessary to ensure assigned geographic areas meet client, state and / or federal requirements for network access.
  • Maintains minimum department production and quality standards.
  • Perform any other assigned duties as required by company.

Job Provider Relations and Service
Primary Location US-CA-Los Angeles
Other Location 
Organization E&I Spec Ben - Operations
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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