Position Description: Energize your career with one of Healthcare's fastest growing companies. 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 effortsWorking closely with Provider Contracting and Retail Network OperationsPrimary phone coverage for the Provider Relations Escalation HotlineAnswering occasional e-mails, and pulse tasks coming into the department from pharmacies and internal departmentsSupporting pharmacies and internal Catamaran departments with pricing, reimbursement, and claims processing inquiriesDeveloping 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 fashionUtilizing the Provider Relations Tracking Database and log all calls coming inProjects as assignedMailings as needed for communication
Required Qualifications:High School Diploma / GED or higher 1+ years of healthcare-related experience1+ years of experience in a claim, customer service, or provider support roleProficiency 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 systemAbility to work Monday through Friday from 8:30 am - 5:00 pmPreferred Qualifications:Experience with Pharmacy Benefits Management (PBM) businessPrior experience with RxCLAIMProficiency 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 skillsAbility to adapt to a changing work environment, including scheduling flexibilityExperience navigating through multiple systems while on the phoneOptumRx 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
Internal Number: 747372
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.