Provider Enrollment Representative - National Remote at UnitedHealth Group Canada

Eden Prairie, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

29 May, 26

Salary

33.22

Posted On

28 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Enrollment, Payer Enrollment, Behavioral Health, Application Processing, Auditing, Database Tracking, NCQA Compliance, CMS Compliance, Government Regulatory Research, MS Excel, MS Word, Problem Solving, Conflict Resolution, Time Management, Organizational Skills, Communication

Industry

Hospitals and Health Care

Description

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 Credential Representative - National Remote. The Credential Representative - National Remote will be responsible for enrolling behavioral health providers with appropriate payers for associated entities. Schedule: Mon - Fri, 8:00AM - 5:00PM any time zone that you reside within You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary 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 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 Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: 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.) More information can be downloaded at: http://uhg.hr/uhgbenefits 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. Required Qualifications: 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 Preferred Qualifications: Knowledge of payers and provider enrollment applications for the following states: Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, and Nebraska Soft Skills: 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 *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN

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Responsibilities

The representative will process provider applications and re-applications, including mailing, review, and database loading, while conducting audits to improve processes and performance. This role requires submitting 10 to 15 applications daily while adhering to exacting standards like NCQA and CMS credentialing requirements.