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Credentialing Coordinator - Miami, FL

UnitedHealth Group


Location:
Miami, FL
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1781627
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Job Details


Credentialing Coordinator - Miami, FL(Job Number:728610)
Description

Position Description:
 
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

The Credentialing Coordinator
is responsible for activities associated with credentialing or re - credentialing physicians and providers, including processing provider applications and re - applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Credentialing Coordinators will assist with audits and provide feedback to reduce errors and improve processes and performance. Responsible for the development of credentialing policies and procedures. May oversee primary source verification activities.

Primary Responsibilities:

  • Apply knowledge / skills to activities that often vary from day to day.
  • Demonstrate a moderate level of knowledge and skills in own function.
  • Require little assistance with standard and non - standard requests.
  • Solve routine problems on own.
  • Work with supervisor to solve more complex problems.
  • Prioritize and organize own work to meet agreed upon deadlines.
  • Work with others as part of a team.
  • Basic credentialing knowledge preferred, i.e., the difference between an MD and a DO, what is a Board Certified provider, what is a primary care provider vs. specialist, etc.
  • Keeps on tasks, meets deadlines.
  • Takes the initiative to write excellent notes while training in order to refer back to them to complete work; Does not just rely on asking the same questions, but also analyzes and researches.
  • Attention to detail is a must and great organizational skills
  • Is able to work independently but will ask for guidance when needed
  • Takes initiative to ask to assist in other areas, as work grows and is willing to learn more and put forth extra effort
  • Understands that we have rigorous deadlines and is willing to invest more time to meet them
  • Has great camaraderie and interaction with peers and provider office personnel

Job Credentialing
Primary Location US-FL-Miami
Other Location 
Organization M&R Pref Care Partners Admin
Schedule Full-time
Number of Openings 2
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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