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 /Physician’s Medical Group of San Jose is looking for the best and brightest professionals to handle the business side of medical practice so “doctors can be doctors.” We are fortunate to have experienced unprecedented growth in the last few years – and we’re just getting started. As the largest Independent Physicians Association in Santa Clara County, not only do we partner with the most health plans, but we’re also the first, and only, Clinically Integrated Network in Silicon Valley.

Schedule: Monday – Friday, 8:00AM – 4:30PM

Location: 2304 Zanker Rd, San Jose, CA

Primary Responsibilities:

• Under the general supervision of the Network Operations Manager & VP, the Provider Relations Coordinator performs a variety of routine and semi-routine tasks requiring a thorough knowledge of organizational policies and procedures. This position will provide administrative and operational support for the Provider Relations / Network Operations Department
• Answer incoming provider calls, emails and other requests for assistance in a timely manner in accordance with departmental performance targets and provide excellent customer service while doing so
• Assist providers (and members) in navigating PMGSJ and other health plan websites, encourage and reassure them to become self-sufficient
• Assist providers and members with basic inquiries about claims, authorizations, benefits and other issues. This includes working in conjunction with internal departments
• Escalate complex issues per department standards
• Interacts positively with all departments
• Properly document all calls/contacts as required by department standards
• Build collaborative relationships with PMG Physicians and their office staff
• Performs other duties and special projects 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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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:

• High School Diploma / GED (or higher)
• 1+ years of general office experience
• 1+ years of healthcare industry experience
• 1+ years of customer service experience with good communication skills working with others
• 1+ years of experience using various computer systems software as well as Windows, MS Word and MS Excel
• Ability to maintain member information in a confidential manner and always ensures HIPAA compliance

Preferred Qualifications:

• Managed care experience in areas of customer service, claims payment, claims resolution and/or provider service
• Knowledge of CMS 1500 and UB 92 forms
• Knowledge of Medical Terminology, CPT & ICD 10 codes
• Vietnamese language communication skills

California Residents Only: The hourly range for California residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.

#RPO, #red