Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Identify and document credentialing, compliance and contract requirements as practitioners enroll in OptumServe’s network to include creation and maintenance of practitioner record within database
- Initiate, retrieve, verify, and follow up on all credentialing applications and content needed for OptumServe’s practitioner network. Ensure applications are complete, data integrity is intact within database to meet requirements for primary source verification
- Monitor accurate re-credentialing of practitioners on a three-year cycle
- Act as the liaison between the practitioner network and internal departments to troubleshoot issues or answer any questions/concerns
- Ongoing monitoring of credentialed network for accuracy or any change in status to include regular internal practitioner record audits
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
Required Qualifications:
- High School Diploma / GED (or higher)
- 1+ year experience in credentialing and/or healthcare
- Intermediate to Expert experience using Microsoft Office Suite including Word (ability to create, edit, save, and send documents), Excel (ability to create, edit, save, and send spreadsheets), and Outlook (ability to send / receive emails)
- Intermediate to Expert experience using Adobe Acrobat (ability to create, edit, save, and send documents)
- 1+ year of experience using phone and computer as your primary work tools
- Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Preferred Qualifications:
- Healthcare terminology experience
- Certified Provider Credentialing Specialist (CPCS) through the National Associate Medical Staff Services
- National Career Readiness Certificate
- Familiarity with NCQA credentialing standards
- Knowledge of practitioner credentialing and primary source verification of medical/dental licensure
- Database experience and working with electronic files / documents