Senior Credentialing Specialist

1 month ago


San Antonio, Texas, United States UnitedHealth Group Full time
Senior Credentialing Representative

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Senior Credentialing Representative, you'll play a critical role in supporting our client base by managing provider networks that include hospital, physician, and dental networks.

Key Responsibilities:
  • Oversee the receipt and processing of provider applications, ensuring timely and accurate completion.
  • Analyze and verify provider credentials, maintaining the highest standards of quality and compliance.
  • Develop and maintain provider credentialing documentation, ensuring seamless integration with our systems.
  • Support and monitor the quality of network providers, driving continuous improvement and excellence.
  • Demonstrate expertise in credentialing processes, tools, and regulations, staying up-to-date on industry developments and best practices.
Requirements:
  • High School Diploma or equivalent required; 2+ years of credentialing experience preferred.
  • Intermediate level of proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, etc.) required.
Preferred Qualifications:
  • Health plan payer enrollment experience a plus.
Soft Skills:
  • Organized and able to meet timely deadlines.
  • Effective communication and interpersonal skills.
  • Ability to handle multiple priorities simultaneously.

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.



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