LHI Provider Network Support Coordinator - La Crosse, WI or US Remote
Tampa , FL
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Job Description
At Optum , the mission is clear: Help people live heathier lives and help make the health system work better for everyone
LHI is one of 4 businesses under OptumServe . OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans.
By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.
LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work. SM
The LHI Provider Network Support Coordinator will facilitate successful activation, completion and ongoing monitoring of LHI's provider network for medical and dental services. Communicate daily with healthcare professional and various internal departments to maintain a detailed and compliant provider file system for LHI's various contracts. Maintain and audit files for completion of necessary contracting documentation and components, scan and enter data into customized computer systems, and analyze and report on provider compliance information. Ensure LHI's provider network meets or exceeds contract expectations and risk management efforts.
Primary Responsibilities:
• Receive, review and process provider file update / change requests via verbal, electronic, or written request
• Process paperless provider file updates
• Review, verify, and approve submitted provider / facility contracting documents for activation
• Review of inactivated provider files
• Support phone queue for incoming internal and external calls
• Adequately respond to and resolve incoming calls in the appropriate manner
• Act as point of contact for providers and internal departments who need assistance with Provider Portal issues
• Complete various provider file update / clean - up / new projects as assigned, manage subscribed reports and participate in Inbox manager rotation as scheduled
• Assist in maintaining and updating process flows and work instructions
• Manually assign qualified providers to orders within the contractually allowed mileage radius
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:
• High School Diploma / GED (or higher)
• 2+ years of work experience in a corporate setting with at least 1 year in managed care or medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration)
• 1+ years of experience in a role requiring strong prioritization / organizational skills and strong interpersonal skills, including telephone etiquette
• At least a basic level of proficiency with Microsoft Excel and Microsoft Word (create, edit, format, manipulate data)
Preferred Qualifications:
• Associate's Degree (or higher)
• Healthcare and / or medical terminology
• Familiarity with contracting documents
• Experience using database applications and working with electronic files / documents
• Contracting compliance, records management, quality assurance and / or customer service experience
• Knowledge and / or experience with CPT and CDT coding
Soft Skills:
• Ability to perform detailed work with a high degree of accuracy
• Ability to work independently as well as with a team
• Strong analytical thinking; multi-tasking, organizational and time management skills
• Professional demeanor
• Excellent verbal and written communication skills with individuals at all levels of an organization
Someof the steps we've taken to ensure employee well-being include:
• Transitioned our new hire training classes to be conductedvirtually
• Launched our ProtectWell app and UnitedCARES program to helpease the burden and stress for our UnitedHealth Group team members and theirimmediate family affected by COVID-19
• Daily updates from our CEO Dave Wichmann to support andinspire team members during this challenging time
• Onsite social distancing and increased sanitization measuresfor employees who have been welcomed back to our offices
• Fully cover the COVID-19 healthcare costs for our employees
• Employees who self-identify as high risk or who live withsomeone who is high risk have been asked to remain working from home
You can learn moreabout all we are doing to fight COVID-19 and support impacted communities at:
Careers with LHI. Our focus is simple. We're innovators in cost - effective health care management. And when you join our team, you'll be a partner in impacting the lives of our customers, and employees. We've joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We're located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We're supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission - driven focus. For you, that means one incredible team and a singular opportunity to do your life's best work. SM
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.
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Job Summary
Company
UnitedHealth Group
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Work Hours (i.e. shift)
Day Job
Required Education
High School or Equivalent
Required Experience
2+ years