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 Provider Service Specialist - Onalaska, WI

Details
Country: USA
Location: Wisconsin-Eau Claire/LaCrosse La Crosse, WI
Total applied: 42
Provider Service Specialist - Onalaska, WI

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards. We’re looking for a team player in our Onalaska, WI office who is motivated and is comfortable working in a production environment as well as on the phones. If you like the sound of working in a position that offers a nice balance between data entry and customer service, this may be the perfect role for you. Primary Responsibilities:  Link providers in the claims paying system to the appropriate provider networks via an internal system of research and contract validation. Call providers to obtain missing/invalid claim information when necessary. Enter correct provider demographic data into the provider maintenance screen. Take calls from members requesting information on participating providers. Assist members with locating a provider in their geographic area.  Update any changes to provider detail information into the claims paying system. Maintain W9 Provider forms. Access/research appropriate network applications for PPO verifications/contracts. Manage various clerical tasks such as provider address updates, paper claim verification, returned mail, etc.  Qualifications: Previous office experience is required for this role. Strong customer service and data entry skills are essential. Candidates must be accurate and attentive to detail. Any medical/insurance background is desired. Basic MS Office skills are a must. Great communication skills will be key to success. Production experience in an office environment is a plus.UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.  Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. 

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