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Provider Enrollment Specialist 2
Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.
Positions in this function is responsible for processing high volume enrollments of health care providers with third party payers. Contacts medical office staff, licensing agencies, and insurance carriers as necessary to bring the enrollment process to completion. Responsible for maintaining accurate and up to date records on provider enrollment activities. Act as a liaison with insurance companies on behalf of the client for provider enrollment issues. Complete and submit applications
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
- Enroll/revalidate all eligible provider types (MD, DO, CRNAs, etc.) with government and commercial payers
- Follow up on open enrollment applications until approvals and effective dates are obtained
- Work to resolve enrollment related issues impacting revenue
- Must be proficient in Microsoft Office Suite (Excel, Word, etc.)
- Must be able to communicate with internal and external stakeholders in a professional and concise manner
- Meet productivity standards as outlined in client metrics
- Identify any issues or trends and bring them to the attention of management team
- Work on special projects & train other team members as assigned
- Other duties as assigned
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.
- Undergraduate degree or equivalent work experience
- 2+ years of hands-on work within provider enrollment process
- Excellent understanding of the entire provider enrollment process
- Proven organized
- Proven detail oriented
- Demonstrated ability to multi-task
- Demonstrated ability to work both independently and collaborate with team members
- Demonstrated ability to prioritize
- Demonstrated ability to quickly shift focus based on business needs
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
•All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. 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.
- Attention To Detail
- Business Requirements
- Microsoft Excel
- Microsoft Office
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Job ID: 2158497
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