United Healthcare Careers – Provider Customer Service Representative

Website United Health Care

Job Description:

Provider Service contact center advocates support the millions of providers who care for our 50 million members. The responsibilities completed by provider service advocates reduces downstream follow-up and research members. This, in turn, reduces downstream workloads for other service organizations supporting members across the enterprise.

Job Responsibilities:

  • Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
  • Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
  • Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls, escalations, and provider dissatisfaction
  • Quickly and appropriately triage contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)
  • Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types
  • Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues

Job Requirements:

  • Effective verbal and written communication skills; Strong listening skillsStrong problem solving and investigative skills
  • Ability to collaborate in a team building environment
  • Strong problem solving and investigative skills
  • Effective verbal and written communication skills; Strong listening skills
  • Ability to collaborate in a team building environment

Job Details:

Company: United Health Care

Vacancy Type: Full Time

Job Location: Phoenix, AZ, US

Application Deadline: N/A

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