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Credentialing Representative - Westerville, OH

UnitedHealth Group


Location:
Westerville, OH
Date:
12/15/2017
2017-12-152018-01-14
Job Code:
729669
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Job Details

729669 Credentialing Representative Westerville OH

Credentialing Representative - Westerville, OH (729669)

Position Description

Position Description:
 
Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed. Join with us and start doing your life’s best work.

The Credentialing Representative 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 Representatives will assist with audits and provide feedback to reduce errors and improve processes and performance.

Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers. Includes processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Conducts audits and provides 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 a range of moderately complex activities
  • Demonstrate great depth of knowledge / skills in own function
  • Sometimes act as a technical resource to others in own function
  • Proactively identify solutions to non-standard requests
  • Solve moderately complex problems on own
  • Work with team to solve complex problems
  • Plan, prioritize, organize and complete work to meet established objectives
  • May coordinate work of other team members
Required Qualifications:
  • High School Diploma/GED or higher
  • Customer Service experience
  • Experience with Microsoft Office (Outlook, Word, and Excel)
Preferred Qualifications:
  • Experience working with compliance workflows and processes including NCQA policies and practices
  • Provider Credentialing experience
  • Experience in researching and ing government regulatory information
  • Experience with NDB or similar platform
  • Medical credentialing experience
Careers with UnitedHealthcare. Let's talk about opportunity. UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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, UnitedHealth Care, Health Care, Provider Credentialing, Microsoft Office

Job Details

  • Contest Number729669
  • Job TitleCredentialing Representative - Westerville, OH
  • Job FamilyNetwork Management
  • Business SegmentUHC Benefit Ops - Provider Svc

Job Location Information

  • Westerville, OH
    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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