Provider Enrollment Representative - National Remote

Overview

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.

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 will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

• 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 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
• Support adherence to standards such as NCQA, CMS and state credentialing requirements
• Performs other duties as assigned

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 offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options with Health Spending Account or Health Saving account
• Dental, Vision, Life & AD&D Insurance with Short-term 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: (Use the "Apply for this Job" box below)./uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and provide development for other roles you may be interested in.

• 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 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 within these states
• 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 at home with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive United Health Group approved high-speed internet or leverage 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 states listed above

• Ability to work independently and as a team, with good judgment and accountability
• Ability to multi-task 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

* All Telecommuters will be required to adhere to United Health 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. United Health Group complies with all minimum wage laws as applicable. In addition to salary, United Health Group offers benefits such as a comprehensive benefits package, incentive programs, equity stock purchase and 401k contributions.

No matter where or when you begin a career with United Health Group, you ll find a broad range of benefits and incentives.

Pursuant to the San…