Provider Service Representative - Richardson, TX

Improve the lives of others while Caring. Connecting. Growing together.

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together.

• Capable of maintaining production set by the department and meeting established turnaround times.
• Plan, prioritize, organize, and complete work to meet established objectives
• Transfer data from multiple systems into a single system
• Verify data by comparing it to source documents
• Knowledgeable with Repricing systems and develop basic skills in the Repricing area.
• Apply knowledge / skills to a range of complex activities
• Demonstrate depth of knowledge/skills in assessing contracts and applying appropriate rates
• Solve complex problems on own
• Collaborate with team to solve complex problems
• Independently manage time and tasks
• Coordinate work of other team members when necessary

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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.

• High School Diploma/GED
• Intermediate level of proficiency with Microsoft Excel (sort & filter data) and Microsoft Word (create & edit documents)
• Ability to key a minimum of 17 claims per hour and 119 claims per day
• Ability to start shift between 6:30 am - 8:00 am, working 8 hours per day, 40 hours per week, Monday through Friday

• 1+ years of experience in data entry
• 1+ year of experience in healthcare claims research, analysis & or reporting
• 1+ year of experience in interpreting reimbursement methodologies and rates as outlined in provider agreements

• Ability to proactively identify solutions to non-standard requests
• Ability to act as a technical resource to others in assessing contracts and applying appropriate rates
• Comfortable learning new technology
• Excellent organizational skills
• Sense of ownership and pride in your performance and its impact on company’s success
• Detail oriented
• Strong research and analytical skills
• Excellent written and verbal communication skills
• Comfortable with accepting and applying constructive developmental guidance
• Excellent interpersonal skills at both an individual and team level
• Good command of English both oral and written and customer service skills
• Ability to handle a fast-paced environment with pressure based on project deadlines
• Experience with repricing and NDB a plus

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a…