Join Optum as a Provider Service Representative and make a difference in health outcomes by connecting providers with essential resources. In this full-time role, you will enhance call quality, support provider networks, and help implement educational programs while enjoying a culture of diversity and growth.
Key Responsibilities
Assist in end-to-end provider claims and help enhance call quality
Assist in the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
Support development and management of provider networks
Help implement training and development of external providers through education programs
Identify gaps in network composition and services to assist network contracting and development teams
Ensure provider service quality by making outbound calls to obtain data and verify information with providers
Perform analysis and develop reports that help clarify operational issues and opportunities
Other responsibilities as assigned
Required Qualifications
High school diploma or GED
2+ years of managed care or medical insurance experience
1+ years of experience in a claims, customer service or provider support role
Beginner level of proficiency with oral communication skills including telephone etiquette
Beginner level of proficiency with MS programs including Excel and Word
Preferred Qualifications
Bilingual Spanish/English
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution