Senior Provider Enrollment Representative

UnitedHealth Group•Pocahontas, AR

10d•Remote

About The Position

Optum is seeking a Senior Provider Enrollment Representative to join their team. This role is responsible for enrolling behavioral health providers with appropriate payers for associated entities. The position offers the flexibility to telecommute from anywhere within the U.S. and operates on a Monday-Friday schedule from 8:00 AM to 5:00 PM, adaptable to the employee's time zone. This is a performance-driven, fast-paced environment where accuracy is crucial, and the representative will be ensuring compliance with exacting standards such as NCQA, CMS, and state credentialing requirements.

Requirements

High School Diploma/GED
3+ years of experience in end-to-end provider payer enrollment, including initiating, submitting, follow-up, and receiving approvals of at least 10-15 behavioral health provider payer enrollment applications to include government and commercial payers
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

Nice To Haves

Knowledge of provider enrollment in at least 5 different states
Ability to work independently and as a team, and maintain good judgment and accountability
Ability to multi-task and prioritize tasks to meet all 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; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Responsibilities

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
Act as a technical resource to others, demonstrating a deep understanding of their function
Solve complex problems independently and proactively identify new solutions
Act as a facilitator to resolve conflicts within the team
Participate as a key team member on project teams that extend beyond their immediate function
Submit 10 to 15 applications daily
Perform other duties as assigned