Provider Enrollment Representative
About The Position
Optum, part of UnitedHealth Group, is seeking a Senior Provider Enrollment Representative to enroll behavioral health providers with appropriate payers for associated entities. The role processes provider applications and re-applications, including initial mailing, review, and loading information into a database tracking system. It also involves auditing work, providing feedback to improve accuracy and performance, serving as a technical resource, solving complex problems, facilitating conflict resolution, and contributing to cross-functional project teams. The position operates in a fast-paced, performance-driven environment requiring accuracy and adherence to NCQA, CMS, and state credentialing requirements. The expected application volume is 10 to 15 applications per day. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. in the time zone where the employee resides. The position is telecommute-eligible from anywhere within the United States, subject to UnitedHealth Group’s Telecommuter Policy. The role is full-time, with hourly pay ranging from $18.00 to $32.00, depending on factors including local labor markets, education, work experience, and certifications.
Requirements
- High school diploma or GED.
- At least 2 years of experience submitting provider enrollment applications to insurance payers.
- Intermediate proficiency with Microsoft Excel and Word.
- Ability to work independently and as part of a team while maintaining good judgment and accountability.
- Ability to multitask and prioritize tasks to meet deadlines.
- Ability to work well under pressure in a fast-paced environment.
- Demonstrated ability to work well with health care providers and team members.
- Strong organizational and time-management skills.
- Excellent verbal and written communication skills, including the ability to communicate clearly and concisely and understand and interpret information from others.
- Adhere to UnitedHealth Group’s Telecommuter Policy if working remotely.
- Pass a drug test before beginning employment.
Nice To Haves
- Knowledge of provider enrollment in at least five different states.
Responsibilities
- Process provider applications and re-applications, including initial mailing, review, and loading information into the database tracking system.
- Conduct audits and provide feedback to reduce errors and improve processes and performance.
- Demonstrate in-depth knowledge and skills in the function and act as a technical resource to others.
- Solve complex problems independently and proactively identify new solutions.
- Facilitate resolution of team conflicts.
- Serve as a key team member on project teams spanning multiple functions.
- Submit 10 to 15 applications daily.
- Perform other duties as assigned.
Benefits
- Paid time off accrued starting with the first pay period.
- Eight paid holidays.
- Medical plan options and participation in a Health Spending Account or Health Savings Account.
- Dental insurance.
- Vision insurance.
- Life and AD&D insurance.
- Short-term disability coverage.
- 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, including pet insurance, legal insurance, and long-term care insurance.
- Performance rewards and incentive and recognition programs.
- Equity stock purchase and 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
