UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Senior Credentialing Representative
Location
United States
Posted
2 days ago
Salary
$20 - $36 / hour
Seniority
Senior
No structured requirement data.
Job Description
Senior Credentialing Representative
UnitedHealth Group
Role Description Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers. Responsibilities include: - Processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. - Conducting audits and providing feedback to reduce errors and improve processes and performance. - Development of credentialing policies and procedures. - Overseeing primary source verification activities. - Acting as a facilitator to resolve conflicts on the team. - Performing as a key team member on project teams spanning more than one function. Schedule: Full time 40 hours, Monday-Friday, 7:30AM-4:00PM Location: This role is Remote Nationwide. You will enjoy the flexibility to telecommute from anywhere within the U.S. Get ready for some significant challenge in a performance-driven, fast-paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS, and state credentialing requirements. Qualifications - High School Diploma/GED - 2+ years of healthcare provider credentialing experience - 2+ years of hospital credentialing experience - 2+ years of experience in MD staff knowledge - 2+ years of experience working with compliance workflows and processes, including NCQA policies and practices - Intermediate level of proficiency with MS Excel and Word Requirements - All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) - Hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment
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