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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Network Management



Approximate Salary:

Not Specified

Position Type:

Full Time

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Credentialing Coordinator - Sandy, UT

UHG - SANDY-Utah, Utah

Posted: 11/19/2018

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.


The Credentialing Coordinator is responsible for activities associated with credentialing or re - credentialing physicians and providers, including processing provider applications and re - applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Credentialing Coordinators will assist with audits and provide feedback to reduce errors and improve processes and performance. Responsible for the development of credentialing policies and procedures. May oversee primary source verification activities.


Primary Responsibilities:

  • Ability to establish and nurture relationships with specialty care providers.
  • Knowledge of claims processing
  • Apply knowledge / skills to activities that often vary from day to day.
  • Demonstrate a moderate level of knowledge and skills in own function.
  • Require little assistance with standard and non - standard requests.
  • Solve routine problems on own.
  • Work with supervisor to solve more complex problems.
  • Prioritize and organize own work to meet agreed upon deadlines.
  • Work with others as part of a team.
  • Basic credentialing knowledge preferred, i.e., the difference between an MD and a DO, what is a Board Certified provider, what is a primary care provider vs. specialist, etc.
  • Keeps on tasks, meets deadlines.
  • Takes the initiative to write excellent notes while training in order to refer back to them to complete work; Does not just rely on asking the same questions, but also analyzes and researches.
  • Attention to detail is a must and great organizational skills
  • Is able to work independently but will ask for guidance when needed
  • Takes initiative to ask to assist in other areas, as work grows and is willing to learn more and put forth extra effort
  • Understands that we have rigorous deadlines and is willing to invest more time to meet them
  • Has great camaraderie and interaction with peers and provider office personnel

Required Qualifications: 
  • High School Diploma / GED (or higher)
  • Experience working with Credentialing Providers, Provider Relations, or Quality Management
  • Experience with Microsoft Word (creating, saving, formatting documents) Microsoft Excel (creating, saving, formatting spreadsheets) and Outlook (ability to open and send emails)
Preferred Qualifications:
  • Managed Care or Medical Insurance experience
  • Medicare experience
  • Experience in a production or deadline driven environment
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SM

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.

Keywords: UnitedHealth Group, healthcare, Data entry, Utah, Patient Travel Coordinator

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