Join Optum in Ontario, CA, as a Provider Service Representative. Help optimize healthcare by assisting provider claims and building valuable relationships with medical networks.
As a Provider Service Representative at Optum, you'll play an essential role in enhancing provider network relationships. This position emphasizes managed care experience and involves developing support programs for stronger ties among health plans, providers, and practice managers. You will also help with provider training and identify gaps in network services.
Key Responsibilities:
• Assist in processing provider claims effectively
• Enhance relationships with providers through program design
• Manage and develop provider networks
• Train external providers through educational initiatives
• Identify gaps for improved contracting and services
Requirements:
• High School Diploma/GED required
• Minimum of 3 years in managed care
• At least 1 year in communication skills
• Inte...