Provider Liaison
Unleash the power of automation for your job search (Paid option) Apply Manually(Free)
I have time, I'll manually find and apply for jobs
UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
As a Provider Liaison, you will be providing a critical function to a new business built from the ground up for the next several years. In this role you will support the daily activities of the business, including direct engagement with healthcare providers to negotiate bills on behalf of consumers. This position requires a motivated self-starter with a blend of provider network experience, process knowledge, and strong analytical, and communication skills.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Engages directly with healthcare providers or their delegates to negotiate reimbursement amounts on behalf of the consumers referred to Naviguard
Research claims, reviews Out-of-Network (OON) payment history, reconciles medical bills and related documentation, and summarizes information to develop data-driven and issue-specific negotiation strategies to reduce medical bills
Works closely with internal teams to understand the background information related to each negotiation and share outcomes and learnings
Closely tracks and documents each negotiation, providing timely follow-up and issue closure with providers and consumers
Performs other duties as assigned
Daily Practices:
Ability to listen skillfully, build rapport, and communicate effectively
Assesses and interprets customer needs and requirements
Identifies solutions to non-standard requests and problems
Solves problems and/or conducts related analyses
Works with minimal guidance; seeks guidance on complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Stays current with all systems communications (i.e., chatters, email, etc.)
Remains current on all relevant trainings and operational updates
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:
Undergraduate Degree OR 3+ years equivalent work experience working in a professional position and/or office/remote environment
3+ years working with a healthcare organization, provider and/or billing office, or similar industry in a role equivalent to network/contract management, revenue cycle, provider services, etc.
1+ years of negotiation experience with proven ability to utilize a data-driven approach
Intermediate proficiency with Windows PC applications; Word, Excel, Outlook and PowerPoint with the ability to navigate and learn new and complex computer system applications
Preferred Qualifications:
1+ year of experience utilizing financial models and analysis in negotiating rates with healthcare providers and billing agencies
Knowledge of medical billing and coding, claims processing systems, and related guidelines
Experience in other fields, such as insurance negotiation or underwriting
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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
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: United Health Group, UHG, Naviguard, Provider Liaison, Remote Nationwide, #RPO #GREEN