19 days old

Provider Reimbursement Specialist - Cypress, CA

Cypress, CA 90630
  • Job Code

The more you do, the more you learn. And as you learn, you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're driving ever higher levels of sophistication in how provider networks are composed and compensated. You'll be part of a team that's out to assist company affiliates with initial deployment and ongoing support of systems and processes that leverage contracted national network rates and policies. Join us and you'll discover the resources, backing and opportunities that you'd expect from a Fortune 7 leader.

Primary Responsibilities:

  • Implement programs designed to ensure proper application of contracted rates and reimbursement policies for company affiliates
  • Perform analysis of medical payments, pre and post payment, to ensure proper pricing of contracts, reimbursement policies and procedures
  • Review payment disputes to verify correct pricing and analyze claim inquiry data to determine root cause of errors and recommend system changes, training and process improvements to prevent future errors
  • Identify and solve a range of problems within area of expertise
  • Investigate non-standard requests and problems

If you are looking for a challenge, this fast-paced, performance driven team environment is the place to be. You'll be expected to provide analytical expertise and accurate direction on pricing while meeting aggressive production goals

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.



Posted: 2020-11-05 Expires: 2020-12-05

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Provider Reimbursement Specialist - Cypress, CA

UnitedHealth Group
Cypress, CA 90630

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