Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting.
Growing together. Optum Serve Health Services (OSHS) is one of three businesses under Optum Serve . Optum Serve 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 Optum Serve you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U. S. health care system.
OSHS 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. OSHS'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. The Dedicated Network Support Specialist is responsible for practitioner setup, payment configuration, and financial support activities in alignment with the VBA MDE program, supporting accurate and timely reimbursement by maintaining practitioner profiles, payment calendars, and related financial components according to established workflows and standards while collaborating closely with internal partners to support day to day operational needs and execute assigned tasks in accordance with defined processes and procedures.
This position is full-time (40 hours/week) Monday - Friday from 7am - 4pm or 8 am to 5 pm CST. The schedule will be determined by supervisor upon hire Location : Remote nationwide You'll enjoy the flexibility to telecommute* from anywhere within the U. S. as you take on some tough challenges.
Primary
S etup practitioner profiles according to block scheduling checklists for block scheduled providers and practitioners. Set up and maintain manual finance calendars for payment rendering on provider and practitioner days. Investigate and address provider reimbursement inquiries in partnership with Provider Reimbursement (PR) and SubK teams to support accurate and automated invoicing.
Maintain and track dedicated supervising physician network to support invoicing. Work closely with Resource Partner Management (RPM), National Account Managers, Clinic Operations Managers (COM), and Clinic Operations Specialists (COS) to ensure accurate practitioner setups and payment processing. Accountable for managing the VS Market Relations email and fax inbox.
Follow established workflows, documentation standards, and escalation paths to ensure consistency and compliance. Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
Some of our offerings include: 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.
Required
High School Diploma/GED 1+ years of related experience collaborating across multiple business functions to achieve shared business objectives. Proficient in Microsoft Office Suite, with strong knowledge of Excel Solid organizational, verbal, written and interpersonal skills I ndependent problem identification/resolution and decision-making skills with the ability to multi‑task in a fast‑paced environment Demonstrated ability to work independently Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Customer service-related background Medical, dental, or healthcare insurance experience Database experience/education Experience with auditing and analyzing healthcare providers VBA experience (Visual Basic for Application) Soft
Solid verbal, written and interpersonal skills Solid critical thinking skills, attention to detail, and proven ability to effectively problem solve while utilizing all-encompassing customer service skill sets Ability to work independently in a fast-paced environment, flexible and adaptable to changing situations Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related decisions Ability to influence and negotiate through use of verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization Ability to plan and prioritize effectively Ability to develop strong professional relationships while demonstrating a clear understanding of complex business structures Ability to speak clearly and concisely while conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace.
Candidates are required to pass a drug test before beginning employment. #RPO #GREEN