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Senior Credentialing Representative - San Antonio, TX

UnitedHealth Group

San Antonio, TX
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Job Details

737562 Senior Credentialing Representative San Antonio TX

Senior Credentialing Representative - San Antonio, TX (737562)

Position Description

It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills. And it just so happens that there’s never been a better time to become a part of the team at UnitedHealth Group. We’re building and maintaining extensive provider networks to serve our customers. Our goal is to attract and secure relationships with the best in every specialty and every community. As a senior member of our Provider Credentialing team, you’ll help us vet and document the competencies of physicians and other providers in our networks. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.


Primary Responsibilities:

  • Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system

  • Conduct audits and provide feedback to reduce errors and improve processes and performance

  • Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others

  • Solve complex problems on own; proactively identify new solutions to problems

  • Act as a facilitator to resolve conflicts on team

  • Perform as key team member on project teams spanning more than own function

Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You’ll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements.


Required Qualifications:

  • High school diploma or equivalent work experience

  • 4+ years of health care provider credentialing experience

  • 2+ years’ experience working with compliance workflows and processes, including NCQA policies and practices

  • 2+ years’ experience in researching and ing government regulatory information

  • Intermediate level of proficiency with MS Excel and Word

Finding and securing the best providers for our growing networks is helping UnitedHealth Group improve the lives of millions. Join us. Learn more about how you can start doing your life’s best work.(sm)


Job Keywords: Managed Care, health care, credentialing, claims, provider applications, medical insurance, provider relations, medical billing, San Antonio, TX, Texas


Job Details

  • Contest Number737562
  • Job TitleSenior Credentialing Representative - San Antonio, TX
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • San Antonio, TX
    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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