Provider Data Specialist - Remote

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

You'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Researches and verifies provider records for correct claims payment for both par and non-par providers.
  • Load non-par providers into NDB as needed for claims processing
  • Assists in the cleanup of the current provider information, including verifying and correcting demographical errors and adding missing information such as provider specialties
  • Resolves provider database issues such as addresses, user warnings, etc. and makes corrections as needed.
  • Communicates effectively with other departments within the platform, other dept., and externally with UHC employees who require precise database information in order to ensure claims are paid correctly.
  • Meets established productivity and quality standards with little or no supervision.
  • Takes responsibility and ownership for assignments and projects in a timely and accurate manner.
  • Performs other projects and duties as assigned.
  • Works as liaison to other departments that help in resolving provider issue.
  • Handle any escalated issues directed by supervisors from other areas related to claim demographics

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 above
  • 1+ years Data entry experience.
  • 1+ years of experience with Microsoft Word, Excel, and Outlook
  • Adept at utilizing multiple claims screens to compare provider data already in the system with that of the request.

Preferred Qualifications:
  • CSP Facets Experience or other claims processing system
  • 1+ years of experience healthcare industry
  • 6 months or more of NDB Experience
  • Knowledge of medical terminology and managed health care
  • Customer Service experience
  • Experience working with healthcare providers

Soft Skills:
  • Must be comfortable with working on a virtual team
  • Detail oriented and excellent written and verbal communication skills.
  • Good interpersonal and organizational skills along with critical thinking and decision-making skills.
  • Ability to learn, understand and grow through continuous coaching and training.
  • Capable of handling multiple tasks and shifting priorities

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.19. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

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: Provider Data Specialist, PDO, NDB, Facets, United Healthcare, UHC, work from home, work at home, WAH, WFH, hiring immediately, #RPO