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UnitedHealth Group: Contract Configuration Specialist – San Antonio, Tx

UnitedHealth Group

This is a Contract position in Leming, TX posted November 20, 2020.

Do you have compassion and a passion to help others?

Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieveyour life’s best work.(sm)Times are exciting here as we continue to grow and expand our markets.We are now seeking a Contract Configuration Specialist at our location in San Antonio, TX.Primary Responsibilities:Manages and configures contract reimbursement methodologies within specified timeframes into claims payment systemTests and audits claims payment accuracy against contact information loaded into claims payment systemCompletes assigned claims in provider set up queue timely and accuratelyAssists with responding to email inquiries received on a daily basisAssists with reviewing/researching provider disputes due to contact set up issuesPartners with other departments to ensure appropriate data is collected and maintainedInterprets and configures contract terms and claims coding in a risk based environmentUnderstands health insurance benefit administration in a risk based environmentUtilizes data in the development and implementation of managed care strategiesActs as a resource to other internal departments on contract issuesExpected to meet or exceed departmental timeframes and quality metrics on a consistent basisTakes ownership of the work process, seeks ways to improve job and process efficiency and makes appropriate suggestions and solutions to managementYou’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 or GED3 years of health care claims processing experienceFamiliar with medical terminologyPreferred Qualifications:Exceptional ability to organize, prioritize, multi-task and communicate effectivelyAbility to receive and comprehend instructions verbally and/or in writingAbility to use logical reasoning for simple and complex problem solvingCareers with WellMed.Our focus is simple.

We’re innovators in preventative health care, striving to change the face of health care for seniors.

We’re impacting 380,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services.

We’ve joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness.

Our providers and staff are selected for their dedication and focus on preventative, proactive care.

For you, that means one incredible team and a singular opportunity to doyour 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.Job Keywords: Contract Configuration Specialist, Claims, San Antonio, TX, Texas