Senior Provider Enrollment Representative

About the role

The Senior Provider Enrollment Representative plays a crucial role in connecting behavioral health providers with appropriate payers. This position requires a strong understanding of provider enrollment processes and the ability to handle multiple applications efficiently.

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
• Perform as key team member on project teams spanning more than own function
• Able to submit 10 to 15 applications daily
• Help confirm adherence to exacting standards such as NCQA, CMS, and state credentialing requirements
• Perform other duties as assigned

Requirements

• High School Diploma/GED
• 3+ 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
• Soft Skills: Ability to work independently and as a team, maintain good judgment and accountability, multi-task, prioritize tasks to meet all deadlines, work well under pressure in a fast-paced environment, demonstrate ability to work well with health care providers and team members, strong organizational and time management skills, excellent verbal and written communication skills

Benefits

Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Contact Information

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.