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Optum Pay Provider Enrollment Processor

2 months ago

Elk River, United States Optum Full time
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 start Caring. Connecting. Growing together.

The Optum Pay Provider Enrollment Processor will be responsible for performing the appropriate processes to enroll and maintain enrollment for Optum Pay providers. Enrollment includes validating provider financial and business information. The processor will review, investigate and process enrollment using the Optum Pay applications. Conducts data entry and re-work; analyzes and identifies fraud enrollment trends as necessary.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime. Our office is located at Optum Camp-Bldg 1, Eden Prairie,MN .

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:
  • Provide expertise or general support by reviewing, researching, investigating, processing, and adjusting Optum Pay enrollments
  • Authorize enrollment or refer to investigators for further review analyze and identify trends and provides reports as necessary
  • Strive for provider service excellence
  • Assisting provider with account maintenance to ensure payments are processed accurately
  • Outbound provider calls as needed
  • Consistently meet established productivity, schedule adherence and quality standards
  • Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Safeguard transactions and escalate when applicable
  • Adapt to changing business objectives
  • Verify true providers and the activity on their account
  • Thoroughly review enrollment items for fraudulent activity
  • Apply expanded knowledge base of fraud schemes to assist in handling of specialized fraud functions such as identity theft and cross-channel fraud
  • 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.

Required Qualifications:
  • High School Diploma / GED
  • Must be 18 years of age or older
  • Ability to sit/stand for extended periods of time
  • Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to manage multiple systems and applications
  • Ability to multi-task - this includes ability to understand multiple products and multiple levels of benefits within each product
  • Self-Starter
  • Ability to work any of our 8-hour shift schedules during our normal business hours of 8am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.
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 .