Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. Primary Responsibilities:Researches and verifies provider records for correct claims payment for both par and non-par providersLoad non par providers into the system and maintain provider dataAssists in the cleanup of the current provider information, including verifying and correcting demographical errors and adding missing information such as provider specialties Resolves provider database issues such as addresses, user warnings, etc. and makes corrections as neededCommunicates effectively with other departments within the platform, other dept., and externally with UHC employees who require precise database information in order to ensure claims are paid correctly Meets established productivity and quality standards with little or no supervision Takes responsibility and ownership for assignments and projects in a timely and accurate manner Performs other projects and duties as assigned Works as liaison to other departments that help in resolving provider issue Handle any escalated issues directed by supervisors from other areas related to claim demographics
Required Qualifications:High School Diploma / GED or higher 2+ years of experience in the health care industry2+ years of data entry experienceExperience in medical claims processing (utilizing multiple claims screens to compare provider data already in the system with that of the request)Experience with Microsoft Word and Excel - basic navigationMust be able to work a flexible work schedule between the hours of 6:00am - 5:00pm EST, Monday through Friday and work mandatory overtime of 10 hours a weekPreferred Qualifications:NDB experienceCSP Facets experienceExperience working with health care providersCustomer service experienceKnowledge of medical terminologyCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMDiversity 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 Data Specialist; Pittsburgh, PA; health care industry; data entry; medical claims processing; NDB; CSP Facets; customer service; medical terminology
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.