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Credentialing Coordinator - Miami, FL

UnitedHealth Group

Miami, FL
Job Code:
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Job Details

748554 Credentialing Coordinator Miami FL

Credentialing Coordinator - Miami, FL (748554)

Position 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.

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:
  • 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
Required Qualifications:
  • High School Diploma / GED (or higher)
  • Managed Care or Medical Insurance experience
Preferred Qualifications:
  • Medicare experience
  • Basic Credentialing knowledge
  • Experience in Credentialing Providers, working in Provider Relations, Medical Billing, or Quality Management
  • Research and Analysis experience
Soft Skills:
  • Experience in a production or deadline driven environment
  • Experience in a position requiring strong interpersonal and oral communication skills including telephone etiquette
  • Ability to work independently and remain on task
  • Ability to multi - task and remain flexible in fast - paced setting
  • Strong attention to detail
  • Strong organization and planning skills
Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well - being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group
is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Credentialing Coordinator, Miami, Provider Relations, Medical Billing, Research and Analysis

Job Details

  • Contest Number748554
  • Job TitleCredentialing Coordinator - Miami, FL
  • Job FamilyNetwork Management
  • Business SegmentMedicare and Retirement

Job Location Information

  • Miami, FL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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