Senior Provider Enrollment Representative

UnitedHealth GroupOklahoma City, OK
$20 - $36Remote

About The Position

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Optum has an immediate opening for a Senior Provider Enrollment Representative. You will be responsible for enrolling behavioral health providers with appropriate payers for associated entities. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Get ready for some significant challenge. This is 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 You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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

  • 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
  • Performs other duties as assigned

Benefits

  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase and 401k contribution

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service