What are the responsibilities and job description for the HCBS Provider Advocate Role position at UnitedHealthcare?
Role Overview
We are seeking a skilled HCBS Provider Advocate to join our team at UnitedHealthcare. This individual will be responsible for building and maintaining strong relationships with healthcare providers, ensuring seamless claims processing and resolution of issues. If you have experience in provider relations and network management, we encourage you to apply.
About the Role
This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. The successful candidate will have the flexibility to work remotely and will be part of a dynamic team committed to delivering exceptional care to our members.
Main Responsibilities:
Required Qualifications:
We are seeking a skilled HCBS Provider Advocate to join our team at UnitedHealthcare. This individual will be responsible for building and maintaining strong relationships with healthcare providers, ensuring seamless claims processing and resolution of issues. If you have experience in provider relations and network management, we encourage you to apply.
About the Role
This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. The successful candidate will have the flexibility to work remotely and will be part of a dynamic team committed to delivering exceptional care to our members.
Main Responsibilities:
- Serve as the primary contact for health plan providers to resolve claims, authorization, and other servicing issues.
- Built trusting relationships with providers to ensure efficient issue resolution and effective communication.
- Work closely with Claims Subject Matter Experts to review claims and identify root cause issues.
- Monitor and track FAST cases to ensure timely resolution and communicate results to providers.
Required Qualifications:
- 2 years of provider relations and/or provider network experience.
- Intermediate level of proficiency in claims processing and issue resolution.
- Knowledge of Medicare and Medicaid guidelines.
- Proficiency with MS Word and Excel.
