[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.).

Company Description

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.

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.