Senior Provider Enrollment Representative

UnitedHealth Group-posted 3 months ago

$20 - $35/Yr

Full-time • Entry Level

Remote • Eugene, OR

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum has an immediate opening for a Credential Representative - National Remote. The Credential Representative - National Remote will be responsible for enrolling behavioral health providers with appropriate payers for associated entities.

Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
Conduct audits and provide feedback to reduce errors and improve processes and performance
Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others
Solve complex problems on own; proactively identify new solutions to problems
Act as a facilitator to resolve conflicts on team
Perform as key team member on project teams spanning more than own function
Ability to submit 10 to 15 applications daily
Confirm to very exacting standards such as NCQA, CMS and state credentialing requirements
Perform other duties as assigned

High School Diploma/GED (or higher)
2+ years of experience in submitting at least 10-15 behavioral health provider payer enrollment applications
2+ years of experience with submitting commercial payer enrollment applications
2+ years of experience in submitting enrollment applications to that include at least 10 different payer enrollments within these states-Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, Nebraska
2+ years of experience in submitting follow ups and issue resolutions from at least 10 different payer enrollments from these states Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, Nebraska
2+ years of experience working with compliance workflows and processes, including NCQA policies and practices
2+ years of experience in researching and applying government regulatory information
Intermediate level of proficiency with MS Excel and 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
Ability to work from 8:00 am to 5:00 pm CST

Knowledge of payers and provider enrollment applications for the following states: Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, and Nebraska

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.)

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