Provider Reimbursement Representative

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.

Primary Responsibilities:

• Assess and interpret customer needs and requirements
• Identify solutions to non – standard requests and problems
• Solve moderately complex problems and / or conducts moderately complex analyses
• Work with minimal guidance; seek guidance on only the most moderately to complex tasks
• Translate concepts into practice
• Provide explanations and information to others on difficult issues
• Act as a resource for others with less experience
• Validate pricing data prior to submission and assist with post system load comparisons.
• Review and process fee schedule requests in the MSPS access database and submit requests to multiple loading areas
• Triage inquiries received in our group mailbox
• Work special projects, as assigned

Required Qualifications:

• High School Diploma / GED (or higher)
• 2+ years of experience with Basic CPT / HCPC knowledge
• 1+ years of experience on Cosmos., CSP Facets and / or NDB
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (creating spreadsheets), and Microsoft Access (queries for inconsistencies on various spreadsheets, auditing fee schedules)
• Experience with Project Management

Careers 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.

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.