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Researches and verifies provider records for correct claims payment for both par and non-par providers
Load non par providers into the system and maintain provider data
Assists in the cleanup of the current provider information, including verifying and correcting demographical errors and adding missing information such as provider specialties
Resolves provider database issues such as addresses, user warnings, etc. and makes corrections as needed
Communicates effectively with other departments within the platform, other dept., and externally with UHC employees who require precise database information in order to ensure claims are paid correctly
Meets established productivity and quality standards with little or no supervision
Takes responsibility and ownership for assignments and projects in a timely and accurate manner
Performs other projects and duties as assigned
Works as liaison to other departments that help in resolving provider issue
Handle any escalated issues directed by supervisors from other areas related to claim demographics
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.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.