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Optum · 1 day ago

Credentialing Representative

United States

Full-time

Remote

Entry Level

$17.98/hr - $32.12/hr

1+ years exp

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The Credentialing Representative will process provider applications, conduct audits, and collaborate with team members to improve health outcomes.

EducationHealth CareMedicalPharmaceutical

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

Work independently to resolve standard and non-standard requests

Consult with your supervisor on complex issues and problems

Collaborate with others on your team

Qualification

Credentialing experienceProvider relationsQuality managementMS ExcelMS WordCAQHNCQA guidelinesSoftware training (MDStaff)Roster managementCollaborationProblem-solving

Required

High School Diploma/GED (or higher)

1+ years of experience in credentialing, provider relations, and quality management in healthcare

Basic level of proficiency with MS Excel and Word

Preferred

Knowledge of CAQH

Experience managing a group mailbox

Knowledge of NCQA guidelines

Experience with software training (MDStaff)

Knowledge of roster management

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Benefits

A comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Company

Optum

Glassdoor3.6

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

Founded in 2011

Eden Prairie, Minnesota, USA

10001+ employees