What are the responsibilities and job description for the Provider Claims Educator - Hybrid in Boise, ID position at UnitedHealthcare?
UnitedHealthcare Community & State is excited to serve more members in Idaho and is seeking dedicated professionals to be part of our team.
If you are enthusiastic about making an impact in healthcare, learn more at our upcoming Virtual Career Event, on March 11
12 : 00-2 : 00MDT .
Register to attend : https : / / uhg.hr / C&SIdahoInfoSession
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Provider Claims Educator will be responsible for conducting root cause analyses of claims data to track and trend claims denials, underpayments, claims errors, and provider education. The Provider Claims Educator will engage with providers, one-on-one or in group settings, to educate them on appropriate claims submission processes and requirements, coding updates, and common billing errors to reduce claims denials and assists providers in getting reimbursed timely and accurately. The Provider Claims Educator work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.
The role is based in Idaho.
Primary Responsibilities :
- Conducts training with providers or groups of providers and their staff on claims denials, and / or underpayments based on trended provider claims issues and common claims errors
- Partners with Provider Education & Outreach Representatives to ensure prompt resolution of provider inquiries
- Assists with development of provider bulletins or training documents related to common claims issues and billing inaccuracies
- Attends association and or state lead meetings where providers can ask questions specific to claims
- Monitors providers post-training to ensure the issues causing the denials are resolved
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications :
Preferred
Qualifications :
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.
Salary : $71,600 - $140,600
