Senior Credentialing Representative

Role Description

Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers. Responsibilities include:

• Processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained.
• Conducting audits and providing feedback to reduce errors and improve processes and performance.
• Development of credentialing policies and procedures.
• Overseeing primary source verification activities.
• Acting as a facilitator to resolve conflicts on the team.
• Performing as a key team member on project teams spanning more than one function.

Schedule: Full time 40 hours, Monday-Friday, 7:30AM-4:00PM

Location: This role is Remote Nationwide. You will enjoy the flexibility to telecommute from anywhere within the U.S.

Get ready for some significant challenge in 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.

Qualifications

• High School Diploma/GED
• 2+ years of healthcare provider credentialing experience
• 2+ years of hospital credentialing experience
• 2+ years of experience in MD staff knowledge
• 2+ years of experience working with compliance workflows and processes, including NCQA policies and practices
• Intermediate level of proficiency with MS Excel and Word

Requirements

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment