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Credentialing Representative - Westerville, OH

UnitedHealth Group

Westerville, OH
Job Code:
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Job Details

754719 Credentialing Representative Westerville OH

Credentialing Representative - Westerville, OH (754719)

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.(sm)

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.

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. 
  • 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)
  • Healthcare Customer Service experience
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. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? 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.SM
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, Westerville, Healthcare Customer Service, Provider Credentialing, Medical Credentialing

Job Details

  • Contest Number754719
  • 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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