Top 100 Medical claims processing Jobs in Wayne, Pa

Provider Relations Advocate - Remote
Optum —Horsham, PA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Customer service
- Pass drug screening
- Mid-level
9d
Medical Billing Manager
Keystone Quality Transport —Springfield, PA
- $58,000 - $93,000 a year
- Full-time
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
Patient Services Specialist
Cencora —Conshohocken, PA
- $34,000 - $62,370 a year
- Full-time
- Remote
- Microsoft Word
- Writing skills
- Research
- Paid parental leave
- Health insurance
Patient Account Billing Rep I
Thomas Jefferson University and Hospitals —Philadelphia, PA
- Full-time
- Mid-level
- Office
- Master's degree
- AD&D insurance
- Disability insurance
8d
AR.Collections Associate-Medical Billing
InTouch Med Supply —King of Prussia, PA
- $20 - $23 an hour
- Overtime
- Computer literacy
- Research
- Mid-level
- Profit sharing
- Paid holidays
Payment Integrity Specialist
Council Capital —Newtown Square, PA
- $75,000 - $80,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- US work authorization
2d
Revenue Specialist I (ROPS)
DAVITA —Malvern, PA
- $19.50 - $23.00 an hour
- Overtime
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
6d
Registration/Charge Entry Spec
Redeemer Health —Meadowbrook, PA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
Temp FT Accounts Receivable Representative
Mid Atlantic Retina —Plymouth Meeting, PA
- Temporary
- Medical office experience
- Research
- Mid-level
- Profit sharing
- Mileage reimbursement
Quick Apply
Manager- Single Billing Office
Temple University Health System —Philadelphia, PA
- Full-time
- Office
- 3 years
- Supervising experience
14d
Certified Medical Coder
Children’s Hospital of Philadelphia —Philadelphia, PA
- $27.35 - $34.19 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
Accounts Receivable Specialist
UNITED WOUND HEALING PS —Yeadon, PA
- $24 - $27 an hour
- Overtime
- Microsoft Outlook
- Word processing
- Pass drug screening
- AD&D insurance
- Paid holidays
Quick Apply
Revenue Cycle Representative II
Thomas Jefferson University and Hospitals —Willow Grove, PA
- Full-time
- Microsoft Word
- Hospital
- Research
- AD&D insurance
- Disability insurance
Healthcare Admin Specialist
ETHOS THERAPY SOLUTIONS, INC —Blue Bell, PA
- $22 - $24 an hour
- Full-time
- Microsoft Outlook
- Medical office experience
- Basic math
- Paid holidays
- Health insurance
Quick Apply
9d
Dental Billing & Insurance Coordinator
Williamsburg Dental —Broomall, PA
- Full-time
- Dental office
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
Manager - Operations-(AHNJ) Hybrid
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
- Work from home
Care Network Practice Manager III
Children’s Hospital of Philadelphia —King of Prussia, PA
- $92,100 - $117,400 a year
- Full-time
- Urgent Care
- HIPAA
- Master's degree
Quick Apply
Facility Reimbursement Technician
Commonwealth of PA —Spring City, PA
- $46,827 - $70,592 a year
- Full-time
- Mid-level
- Office
- 3 years
- Paid parental leave
- Health insurance
8d
Patient Access Specialist
Globus Medical —Collegeville, PA
- Full-time
- HIPAA
- Mid-level
- Finance
Provider Prtnrship Support Adm
Independence Blue Cross —Philadelphia, PA
- Mid-level
- Bachelor's degree
- Communication skills

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Provider Relations Advocate - Remote

Optum -
Horsham, PA

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Job Details

Full-time
$60,200 - $107,400 a year
9 days ago

Qualifications

Medical claims processing
Managed care
Managed care organization experience
Medicaid health insurance
Driver's License
Medicaid regulations
Medicaid
Productivity software

Full Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

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 Provider Relations Advocate 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 building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Assist in end-to-end provider claims and help enhance call quality
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
Support development and management of provider networks
Help implement training and development of external providers through education programs
Identify gaps in network composition and services to assist network contracting and development teams

Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.

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:

4+ years of health care/managed care experience
2+ years of provider relations and/or provider network experience
2+ years of experience with Medicaid regulations
Intermediate level of proficiency in claims processing and issue resolution
Proficiency with MS Word, Excel and PowerPoint
Ability to travel up to 25% within the territory
Driver's License and access to reliable transportation

All employees working remotely 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 salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

Apply Now

Refine Your Search

medical claims processing jobs in wayne, pa

Provider Relations Advocate - Remote

Medical Billing Manager

Patient Services Specialist

Patient Account Billing Rep I

AR.Collections Associate-Medical Billing

Payment Integrity Specialist

Revenue Specialist I (ROPS)

Registration/Charge Entry Spec

Temp FT Accounts Receivable Representative

Manager- Single Billing Office

Certified Medical Coder

Accounts Receivable Specialist

Revenue Cycle Representative II

Healthcare Admin Specialist

Dental Billing & Insurance Coordinator

Manager - Operations-(AHNJ) Hybrid

Care Network Practice Manager III

Facility Reimbursement Technician

Patient Access Specialist

Provider Prtnrship Support Adm

I want to receive the latest job alert for medical claims processing in wayne, pa

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