Provider Enrollment Specialist
$20.38 - $36.44 per hourUnitedHealth Group
Senior Provider Enrollment Representative 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 Senior Provider Enrollment Representative. You 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 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 3+ years of experience in end-to-end provider payer enrollment. Including initiating, submitting, follow up and receiving approvals of at least 10-15 behavioral health provider payer enrollment applications to include government and commercial payers 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 Preferred Qualifications: Knowledge of provider enrollment in at least 5 different states 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. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 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.
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$35k - $50k
...Gainwell in the United States offers a fully remote Provider Quality Analyst role, with standard hours from 8:00 AM to 5:00 PM, Monday... ...role emphasizes data input across diverse systems to support enrollment processing and contract obligations, with opportunities #J-1...SuggestedContract workRemote workHome officeMonday to Friday- ...Gainwell Technologies seeks a Provider Enrollment Representative for remote U.S. work to review and input enrollment data across multiple systems, ensuring accuracy and adherence to contract requirements. This fully remote role requires punctuality, meeting SLAs, experience...SuggestedContract workRemote workWork from homeHome office
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$23 per hour
...Provider Enrollment Specialist *Position Overview* *BetterHelp is seeking detail-oriented Provider Enrollment Specialists to support healthcare provider enrollment activities. This role focuses on managing enrollment requests, tracking application statuses, maintaining...Contract workTemporary workRemote work- ...Provider Enrollment Specialist - Remote US It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career...Work at officeRemote workMonday to FridayFlexible hoursShift work
- ...Gainwell Technologies is seeking a Provider Enrollment Representative in a fully remote U.S. role. You will input enrollment data across systems, support team goals, and ensure compliance with contracts and regulations. The position demands focus, reliability, and strong...Remote workHome officeFlexible hours
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- ...Rula is a remote-first company dedicated to making mental health care more accessible by streamlining credentialing and enrollment for Providers. This role focuses on timely, accurate credentialing and enrollment, collaborating across teams to support new payer launches...Remote work
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...Provider Enrollment Specialist - Nashville, TN (On-site) Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your...Full timeWork at officeMonday to FridayFlexible hours- ...The Mount Sinai Health System in New York, NY is seeking a Provider Enrollment Analyst (I) to coordinate enrollment and payer credentialing for contracted providers with Medicare and Medicaid. You will manage open enrollment tasks to ensure providers are reimbursed and...
$60k - $75k
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- ...and in people's lives. Work Shift Various (United States of America) Job Summary: Coordinates and administers the enrollment process for medical providers on behalf of practice plan and AU HealthSystem, ensuring that all enrollment and credentialing processes and procedures...Shift work
$25.03 - $37.55 per hour
...future salary growth. Job Summary The position is responsible for providing support to the operations of the Provider Network, Managed... ...Departments. This role supports daily operations of provider enrollment, contracting, and ongoing administrative tasks. Reporting to the...Hourly payWork at office- ...Provider Enrollment Specialist St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization...Work at office
$20.98 - $24.15 per hour
...Provider Enrollment Specialist As a Provider Enrollment Specialist, you will be responsible for coordinating and managing the enrollment and credentialing process for healthcare providers. Your primary goal is to ensure that providers are properly credentialed, contracted...Hourly payTemporary workImmediate startRemote workWorldwideMonday to FridayFlexible hoursShift work- ...nTech Workforce is looking for a Provider Enrollment Coordinator. This remote position requires ensuring the accuracy of provider databases and managing confidential information with integrity. The ideal candidate will have over 3 years of experience in billing or health...Remote work
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$18 - $20 per hour
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