[Hiring] Credentialing Representative @UnitedHealth Group

Role Description

Credential Representative will be responsible for enrolling behavioral health providers with appropriate payers for associated entities.

Schedule: Monday through Friday from 6:00AM - 6:00PM CST. The schedule will be determined by the supervisor upon hire.

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.
• Solve complex problems on own; proactively identifying new solutions to problems.
• 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.
• Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key.
• Perform other duties as assigned.

Qualifications

• High School Diploma/GED.
• 1+ years of healthcare customer service and/or administration experience.
• 1+ years of healthcare provider credentialing experience.
• Intermediate level of proficiency with Microsoft Excel and Microsoft Word.
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Requirements

• Experience working with compliance workflows and processes, including NCQA policies and practices.
• Experience researching and applying government regulatory information.

Benefits

• 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.).