Sign In
 [New User? Sign Up]
Mobile Version

Provider Service Representative - Schaumburg, IL

UnitedHealth Group

Schaumburg, IL
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

747372 Provider Service Representative Schaumburg IL

Provider Service Representative - Schaumburg, IL (747372)

Position Description

Position Description:
You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

The Provider Service Representative supports all aspects of the Provider Relations department, which includes contracting requests, research and communication regarding payment and remittance, pricing and reimbursement, communications, and relationship management. Answering incoming phone calls and e-mails from providers.

Primary Responsibilities:
  • Supporting all contracting solicitation and enrollment efforts
  • Working closely with Provider Contracting and Retail Network Operations
  • Primary phone coverage for the Provider Relations Escalation Hotline
  • Answering occasional e-mails, and pulse tasks coming into the department from pharmacies and internal departments
  • Supporting pharmacies and internal Catamaran departments with pricing, reimbursement, and claims processing inquiries
  • Developing and maintaining a positive relationship with contracted pharmacies, and coordinating effectively with internal and external partners to ensure pharmacy inquiries are handled and resolved in an accurate and timely fashion
  • Utilizing the Provider Relations Tracking Database and log all calls coming in
  • Projects as assigned
  • Mailings as needed for communication
Required Qualifications:
  • High School Diploma / GED or higher
  • 1+ years of healthcare-related experience
  • 1+ years of experience in a claim, customer service, or provider support role
  • Proficiency with Microsoft Office including: Microsoft Word (creating and editing documents), Microsoft Excel (creating and modifying spreadsheets), and Microsoft Outlook (managing email and calendar)
  • Experience utilizing Jabber or any form of Instant Messaging system
  • Ability to work Monday through Friday from 8:30 am - 5:00 pm
Preferred Qualifications:
  • Experience with Pharmacy Benefits Management (PBM) business
  • Prior experience with RxCLAIM
  • Proficiency with Microsoft Access (creating forms and reports)
  • Experience with escalations (escalated calls)
  • Proficiency with Microsoft Office including: Microsoft PowerPoint (creating and editing presentations)
Soft Skills:
  • Excellent communications skills
  • Ability to adapt to a changing work environment, including scheduling flexibility
  • Experience navigating through multiple systems while on the phone
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing 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: UnitedHealth Group, Provider Service Representative, Schaumburg, Illinois, healthcare, customer service, claims, PBM, escalations, RxCLAIM

Job Details

  • Contest Number747372
  • Job TitleProvider Service Representative - Schaumburg, IL
  • Job FamilyNetwork Management
  • Business SegmentOptumRx

Job Location Information

  • Schaumburg, IL
    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.

Powered ByLogo

Featured Jobs[ View All ]

Featured Employers [ View All ]