Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Assist with setting up plan structure and billing, eligibility collection and database loading
- Prepare materials such as plan documents and provider education aids
- Accurately load contract amendments
- Audit contract loads for adherence to quality measurers and reporting standards
- Recommend methods to improve processes used by department
This is a demanding, diverse and complex environment and the volume of providers needing validation is growing. Accuracy and efficiency is key, as you will be working to validate the network as per CMS regulatory requirements and update provider data quality listed in member directories.
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 or GED
- 3+ years of work experience in a corporate setting with 1+ years of medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration)
- 1+ years of experience in a role requiring solid prioritization/organizational skills and solid interpersonal skills including telephone etiquette
- Basic level of proficiency with MS Excel and Word
Preferred Qualifications:
- Data entry experience
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California/Colorado/Connecticut/Hawaii/Nevada/New Jersey/New York/Rhode Island/Washington residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. APPLY HERE