Credentialing Representative - National Remote

UnitedHealth Group

Saint Paul (MN)

Remote

Confidential

Full time

14 days+

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Benefits offered by this job

Paid Time Off

Medical Plan options

401(k) Savings Plan

Employee Discounts

Education Reimbursement

Job summary

Join a leading organization as a Credentialing Representative, where you will manage application processing and quality audits for healthcare providers. This role demands a keen eye for detail and strong analytical skills to ensure compliance with industry standards. Embrace the opportunity to work in a performance-driven environment, and enjoy telecommuting flexibility as part of your career development.

Qualifications

1+ years of healthcare customer service and/or administration experience.
Intermediate proficiency in Microsoft Excel and Word.
Candidates preferred with healthcare provider credentialing experience.

Responsibilities

Process provider applications and re-applications, ensuring all standards are met.
Conduct quality audits and provide feedback to enhance performance.
Ability to prioritize daily responsibilities in a fast-paced environment.

Skills

Attention to detail

Analytical skills

Interpersonal communication

Education

High School Diploma/GED

Tools

Microsoft Excel

Microsoft Word

Job description

Credentialing Representative - National Remote

Join to apply for the Credentialing Representative - National Remote role at Optum

Credentialing Representative - National Remote

19 hours ago Be among the first 25 applicants

Join to apply for the Credentialing Representative - National Remote role at Optum

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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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Credentialing Representative is responsible for all activities associated with credentialing / re - credentialing providers. Includes processing provider applications, reviewing and loading into the databases ensuring high quality standards. This role is responsible for all activities associated with credentialing or re -credentialing physicians and other Behavioral providers. Includes processing provider applications including initial communications, verifications, review, and loading into the databases. Conducts audits and provides feedback to reduce errors and improve processes and performance. Responsible for the understanding and adherence of credentialing policies and procedures.

This is a performance driven, fast paced environment where accuracy is key. You will be responsible for ensuring each application meets all NCQA, CMS, State and Federal credentialing requirements.

Schedule: Monday-Friday, 8-hour shifts between the hours of 6am-6pm CST.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Process provider applications and re - applications including initial communications, verifications, review and loading into the databases
Conduct quality audits and provide feedback to reduce errors and improve processes and performance
Apply knowledge / skills to a range of moderately complex activities
Demonstrate great depth of knowledge / skills in own function and function as an information resource to others
Analytical skills for data analysis from multiple sources
Ability to prioritize daily responsibilities

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 healthcare customer service and/or administration experience
Intermediate level of proficiency with Microsoft Excel and Microsoft Word

Preferred Qualifications

Healthcare provider credentialing experience
Experience working with compliance workflows and processes, including NCQA policies and practices
Experience researching and applying government regulatory information
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

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