Provider Enrollment Representative

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 inclusion, talented peers, comprehensive benefits and career development opportunities.

About the role

You will be responsible for enrolling behavioral health providers with appropriate payers for associated entities. 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.

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
• Ability to submit 10 to 15 applications daily
• Performs other duties as assigned

Requirements

• High School Diploma/GED (or higher)
• 2+ years of experience in end-to-end provider payer enrollment, including initiating, submitting, following up and receiving approvals of at least 10-15 behavioral health provider payer enrollment applications to include government and commercial payers
• Intermediate level of proficiency with MS Excel and Word
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications

• Knowledge of provider enrollment in at least 5 different states

Skills

• Ability to work independently and as a team, and maintain good judgment and accountability
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Demonstrated ability to work well with health care providers and team members
• Strong organizational and time management skills
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Benefits

• Competitive base pay
• Paid Time Off (accrued from first pay period) plus 8 paid holidays
• Medical plan options along with participation in a Health Spending Account or a Health Savings Account
• Dental, Vision, Life & AD&D Insurance along with Short-term 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.)

Pay

The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment.

Schedule

Mon - Fri, 8:00 AM - 5:00 PM in any time zone that you reside within. You'll enjoy the flexibility to telecommute from anywhere within the U.S.