Provider Enrollment Specialist

UnitedHealth Group, Inc.; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A healthcare company is seeking a Provider Enrollment Representative to process provider applications, conduct audits, and act as a resource for conflict resolution. Candidates should have a high school diploma and at least 2 years of experience in behavioral health enrollment and compliance workflows. Proficiency in MS Excel and Word is essential.

Qualifications

• Minimum of 2 years of experience in submitting behavioral health provider payer enrollments.
• Experience with compliance workflows and NCQA policies is required.
• Must have access to a designated quiet workspace with secure internet.

Responsibilities

• Process provider applications and maintain records.
• Conduct audits and provide feedback.
• Facilitate conflict resolution within the team.

Skills

Process provider applications

Conduct audits

Technical resource

Conflict resolution

Proficiency with MS Excel

Proficiency with MS Word

Education

High School Diploma/GED

Job description

A company is looking for a Provider Enrollment Representative.

Key Responsibilities

• Process provider applications and maintain records in the database tracking system
• Conduct audits and provide feedback to enhance processes and performance
• Act as a technical resource and facilitate conflict resolution within the team

Required Qualifications

• High School Diploma/GED (or higher)
• 2+ years of experience in submitting behavioral health provider payer enrollments
• 2+ years of experience with compliance workflows and NCQA policies
• Intermediate proficiency with MS Excel and Word
• Access to a designated quiet workspace with secure internet connection