United Health Group Remote Credentialing Representative – Telecommute Opportunity with Comprehensive Benefits and Growth Potential

Join the United Health Group Team: Transforming Healthcare through Innovation and Compassion

At United Health Group, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We're committed to fostering a culture of inclusivity, respect, and empathy, where every individual has the opportunity to thrive. As a leader in the healthcare industry, we're seeking a highly skilled and motivated Remote Credentialing Representative to join our team.

About the Role: United Health Group Remote Credentialing Representative

We're looking for an experienced and detail-oriented professional to fill the role of United Health Group Remote Credentialing Representative. As a key member of our team, you'll be responsible for processing provider applications, conducting primary source verifications, and ensuring compliance with regulatory requirements. This is a unique opportunity to work independently in a remote setting, utilizing your skills and expertise to make a positive impact on the lives of millions of people.

Primary Responsibilities:

• Process provider applications, including mailing, reviewing against established criteria, primary source verifications, and loading into Salesforce and database tracking systems.
• Notify providers of credentialing review process outcomes, including options for reconsideration.
• Apply knowledge and skills to a range of moderately complex activities, demonstrating great depth of knowledge and skills in own function.
• Act as a technical resource to others, providing credentialing support and subject matter expertise to internal operations teams.
• Plan, prioritize, organize, and complete work to meet established objectives, working independently with minimal supervision.
• Perform outreach via phone, fax, and email to obtain missing information needed to complete provider credentialing files.
• Other duties, as assigned, to support the achievement of team goals and objectives.

Requirements and Qualifications:

Essential Qualifications:

• High School Diploma/GED (or higher) required.
• 1+ year of experience in provider credentialing or within provider services.
• 1+ year of experience in a healthcare or corporate environment.
• 1+ year of data entry experience.
• Intermediate level of proficiency with Microsoft Office (Word, Excel, and Outlook).
• Currently works within the PDO (Provider Data Operations) org.

Preferred Qualifications:

• Experience in researching and applying government regulatory information.
• Experience working with compliance workflows and processes.
• 1+ years of healthcare provider or Home and Community Based Services credentialing experience.
• Proficient at utilizing multiple claims screens to compare provider data already in the system with that of the request.

Skills and Competencies:

To succeed in this role, you'll need to possess:

• Excellent communication and interpersonal skills.
• Strong analytical and problem-solving skills.
• Ability to work independently and prioritize tasks effectively.
• Attention to detail and organizational skills.
• Proficiency in Microsoft Office and database management systems.

What We Offer:

Compensation and Benefits:

We offer a competitive salary and comprehensive benefits package, including:

• A competitive salary range of $16.54 to $32.55 per hour (for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents).
• A comprehensive benefits package, including medical, dental, and vision coverage.
• Incentive and recognition programs to reward outstanding performance.
• Equity stock purchase and 401k contribution (subject to eligibility requirements).

Career Growth Opportunities:

At United Health Group, we're committed to helping our employees grow and develop their skills. You'll have access to:

• Training and development programs to enhance your skills and knowledge.
• Opportunities for career advancement and professional growth.
• A supportive and collaborative work environment that encourages innovation and creativity.

Work Environment and Culture:

We offer a flexible and remote work environment, allowing you to work from anywhere within the U.S. Our culture is built on:

• A commitment to diversity, equity, and inclusion.
• A focus on employee well-being and work-life balance.
• A collaborative and supportive team environment.

How to Apply:

If you're a motivated and detail-oriented professional looking to make a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:

Conclusion:

At United Health Group, we're dedicated to transforming the healthcare experience and making a positive impact on the lives of millions of people. As a Remote Credentialing Representative, you'll have the opportunity to work independently, utilize your skills and expertise, and contribute to our mission. We offer a competitive salary, comprehensive benefits package, and opportunities for career growth and development. If you're passionate about healthcare and looking for a new challenge, we encourage you to apply for this exciting opportunity.