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Provider Servicing Representative - San Antonio, TX

UnitedHealth Group

San Antonio, TX
Job Code:
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Job Details

755482 Provider Servicing Representative San Antonio TX

Provider Servicing Representative - San Antonio, TX (755482)

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.SM


The Provider Servicing 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. Provider Servicing Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, 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 re - mediating operational short-falls and researching and re - mediating claims. 


Primary Responsibilities:

  • knowledge / skills to a range of moderately complex activities
  • Demonstrate great depth of knowledge / skills in own function
  • Sometimes act as a technical resource to others in own function
  • Proactively identify solutions to non - standard requests
  • Solve moderately complex problems on own
  • Work with team to solve complex problems
  • Plan, prioritize, organize and complete work to meet established objectives
  • May coordinate work of other team members

Required Qualifications:

  • High School Diploma / GED
  • 6+ months of Managed Care or Medical Insurance experience
  • 1+ years of experience in a Claims, Customer Service, or Provider / Member Support role
  • Ability to create and save documents in Microsoft Word and Excel
  • Must be flexible to work any shift needed based on Company needs
  • Must be willing to work overtime as needed based on Company needs

Preferred Qualifications:

  • Dental office / Dental product experience
  • Microsoft SharePoint experience
  • Knowledge of Facets, Siebel, Scion, and / or Salesforce

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.SM


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; Senior Provider Service Representative; San Antonio, TX; Word; Excel; Managed Care; Medical Insurance

Job Details

  • Contest Number755482
  • Job TitleProvider Servicing Representative - San Antonio, TX
  • Job FamilyNetwork Management
  • Business SegmentEmployer and Individual

Job Location Information

  • San Antonio, 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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