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Provider Enrollment Specialist
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Provider Enrollment Specialist - Boston, United States - Optum
Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.Come make an impact on the communities we serve as you help us advance health equity on a global scale.
Join us to startCaring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within
Massachusetts, Rhode Island, Connecticut, or New Hampshire
as you take on some tough challenges.
Primary Responsibilities:
Process provider applications and revalidation applications through verifications, credentialing, and site visits
Accurately input enrollment data into database system
Conduct quality assurance functions 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
Educate and provide training to Providers on billing, prior authorization, and other administrative functions
Investigate non-standard requests and problems
What are the reasons to consider working for UnitedHealth Group?
Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma/GED (or higher)
3+ years of experience with credentialing / provider enrollment / network management / provider relations in the health care industry
Intermediate level of proficiency with MS Excel and Word
Currently reside within the state of Massachusetts, Rhode Island, Connecticut, or New Hampshire
Ability to travel up to 25% of the time for conducting site visits within the state of Massachusetts
Preferred Qualifications:
Comfortable learning and using different computer programs such as Salesforce and MMIS
Exceptional oral communication skills
Ability to work independently and with a team
Understands and is successful at meeting deadlines that comes with job tasks
Demonstrated ability to develop written correspondence to providers
Familiarity with healthcare regulations and standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Connecticut Residents Only:
The hourly range for Connecticut residents is
$28.03 to $54.95
per hour
.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as applicable
.
In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Rhode Island Residents Only:
The hourly range for
Rhode Island
residents is
$28.03 to $54.95
per hour
.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as applicable
.
In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.#RPO #Green
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