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LHI Provider Network Support Coordinator - La Crosse, WI or US Remote

Company: UnitedHealth Group
Location: La Crosse
Posted on: April 5, 2021

Job Description:

LHI Provider Network Support Coordinator - La Crosse, WI or US Remote We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM At Optum, the mission is clear:--Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OptumServe. OptumServe--provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work. SM -- The--LHI Provider Network Support Coordinator--will facilitate successful activation, completion and ongoing monitoring of LHI's provider network for medical and dental services. Communicate daily with healthcare professional and various internal departments to maintain a detailed and compliant provider file system for LHI's various contracts. Maintain and audit files for completion of necessary contracting documentation and components, scan and enter data into customized computer systems, and analyze and report on provider compliance information. Ensure LHI's provider network meets or exceeds contract expectations and risk management efforts. -- This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. -- You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.-- We offer 1 weeks of paid training. The hours during training will be 8:00am to 4:30pm, Monday - Friday. Training will be conducted virtually from your home. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. --Primary Responsibilities:

  • Receive, review and process provider file update / change requests via verbal, electronic, or written request
  • Process paperless provider file updates
  • Review, verify, and approve submitted provider / facility contracting documents for activation
  • Review of inactivated provider files
  • Support phone queue for incoming internal and external calls
  • Adequately respond to and resolve incoming calls in the appropriate manner
  • Act as point of contact for providers and internal departments who need assistance with Provider Portal issues
  • Complete various provider file update / clean - up / new projects as assigned, manage subscribed reports and participate in Inbox manager rotation as scheduled
  • Assist in maintaining and updating process flows and work instructions
  • Manually assign qualified providers to orders within the contractually allowed mileage radius 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:
    • High School Diploma / GED (or higher)
    • 1+ years experience in a role requiring strong prioritization / organizational skills and strong interpersonal skills, including telephone etiquette
    • Microsoft Office proficient - Microsoft Word, Microsoft--Excel, and Microsoft--Outlook including the ability to open, create, edit, save, and send documents, spreadsheets, and emails, other forms of documents
    • If you need to enter a work site for any reason, you will be--required--to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualifications:
      • Associate's Degree (or higher)
      • 2+ years of work experience in a corporate setting with at least 1+ years in managed care or medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration)
      • Healthcare and / or medical terminology
      • Familiarity with contracting documents
      • Experience using database applications and working with electronic files / documents
      • Contracting compliance, records management, quality assurance and / or customer service experience
      • Knowledge and / or experience with CPT and CDT coding Soft Skills:
        • Ability to perform detailed work with a high degree of accuracy
        • Ability to work independently as well as with a team
        • Strong analytical thinking; multi-tasking, organizational and time management skills
        • Excellent verbal and written communication skills with individuals at all levels of an organization UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. Careers with LHI. Our focus is simple. We're innovators in cost - effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission - driven focus. For you, that means one incredible team and a singular opportunity to do your life's best work. SM Colorado Residents Only: The--hourly range for Colorado residents is $15.00 to $22.02. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance. 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: #RPO, UHG, UnitedHealth Group, UHC, UnitedHealth Care, Optum, LHI, administrative, coordinator, support, clerical, secretary, MS, Word, Excel, Outlook,--work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo We want you to know what our hiring process looks like. Watch the video and find out what to expect along the way. Getting an internship UnitedHealth Group is not only an opportunity to do something extraordinary with your summer, it's also an opportunity to land your first full time job. Most college students know the last internship before graduation is perhap--- So you've searched our open jobs and are ready to submit your application. But how do you know if a specific job is right for you? Here are four questions to consider before applying--- Here at UnitedHealth Group, we've adjusted the way we work as a result of COVID-19. At this moment, 90% of our non-clinical staff is working from home around the globe, prior to COVID-19 42% of our non-clinical staff was already working from home. Th--- UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-800-561-0861 and press or say 1 for Applicant to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. 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, La Crosse , LHI Provider Network Support Coordinator - La Crosse, WI or US Remote, Other , La Crosse, Wisconsin

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