2025-04-15

Job Description:

As a Provider Liaison, you will be providing a critical function to a new business built from the ground up for the next several years. In this role you will support the daily activities of the business, including direct engagement with healthcare providers to negotiate bills on behalf of consumers.

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Job Responsibilities:

• Performs other duties as assigned
• Engages directly with healthcare providers or their delegates to negotiate reimbursement amounts on behalf of the consumers referred to Naviguard
• Research claims, reviews Out-of-Network (OON) payment history, reconciles medical bills and related documentation, and summarizes information to develop data-driven and issue-specific negotiation strategies to reduce medical bills
• Works closely with internal teams to understand the background information related to each negotiation and share outcomes and learning
• Closely tracks and documents each negotiation, providing timely follow-up and issue closure with providers and consumers

Job Requirements:

• 1+ years of experience utilizing financial models and analysis in negotiating rates with healthcare providers and billing agencies
• Undergraduate degree or equivalent work experience
• Knowledge of medical billing and coding, claims processing systems, and related guidelines
• 1+ years of negotiation experience with proven ability to utilize a data-driven approach
• Proficiency with Windows PC applications; Word, Excel, Outlook and PowerPoint with the ability to navigate and learn new and complex computer system applications
• Experience in other fields, such as insurance negotiation or underwriting
• 3+ years working with a healthcare organization, provider and/or billing office, or similar industry in a role equivalent to network/contract management, revenue cycle, provider services, etc.

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Minnetonka, MN, US

Application Deadline: N/A

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