Job details
Job type full-time
Full job description
Unitedhealth group is working to create the healthcare system of tomorrow and you can helpWe are totally focused on innovation and changeWe work a little harderWe aim a little higherWe expect more from ourselves and each otherAnd at the end of the day, we`re doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we`re building a high-performance healthcare system that works better for more people in more ways than everNow we`re looking to reinforce our team with people who are decisive, brilliant and built for speedJoin with us and start doing your life’s best work.(sm)
The credentialing representative is responsible for activities associated with credentialing or recredentialing providers, including processing provider applications, initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintainedThe credentialing representatives will assist with audits and provide feedback to reduce errors and improve processes and performance.
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Primary responsibilities:
Process provider applications including mailing, reviewing against established criteria, primary source verifications, and loading into the sharepoint and database tracking systems
Notify providers of the credentialing review process outcomes, including options for reconsideration
Apply knowledge/skills to a range of moderately complex activities
Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others
Provide credentialing support and subject matter expertise to internal operations teams including but not limited to contracting, demographics and loading teams
Plan, prioritize, organize and complete work to meet established objectives
Perform outreach via phone, fax and e-mail to obtain missing information needed to complete provider credentialing filesThis may requires professional communication with providers, office managers, state agencies, academic institutions and other resources as applicable to the provider
Works independently
Other duties, as assigned
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 experience with microsoft word and microsoft excel, with the ability to create, edit, search, sort, save, and send documents and spreadsheets
1+ years of experience with adobe acrobat, with the ability to edit, merge, and convert documents
Preferred qualifications:
Experience in researching and applying government regulatory information
Experience working with compliance workflows and processes
1+ years of healthcare provider or home and community based services credentialing experience
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers with unitedhealthcareLet`s talk about opportunityStart with a fortune 5 organization that`s serving more than 85 million people already and building the industry`s singular reputation for bold ideas and impeccable executionNow, add your energy, your passion for excellence, your near-obsession with driving change for the betterGet the picture? unitedhealthcare is serving employers and individuals, states and communities, military families and veterans where ever they`re found across the globeWe bring them the resources of an industry leader and a commitment to improve their lives that’s second to noneThis is no small opportunityIt`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 $25.19Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
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 workplaceCandidates are required to pass a drug test before beginning employment.
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