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in Hillside, IL

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Hours Full-time, Part-time
Location Hillside, IL
Hillside, Illinois

About this job

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.(sm)


 


Accumulate and distribute accurate credentialing information on physicians, as well as monitoring and updating information consistently.  This position has a heavy focus on special projects, file readiness (i.e., obtaining missing documentation, compiling documents, phone follow up, physician notification of document expiration, etc.).

 

Essential Roles and Responsibilities:

·         Maintains internal provider credentialing files including creating new and maintaining old provider files

·         Oversees and maintains provider credentialing database (EZ Cap)

·         Maintains participation status with health plans, including HealthSpring, Humana, FHN, BCBS-IL

·         Notifies HMO/PPO of any physician information changes, additions, and terminations

·         Runs monthly status reports and follows up with any necessary corrective action

·         Supports Provider Relations staff on special projects

·         Other duties as assigned

Requirements

Requirements:


·         High School Diploma or GED

·         Demonstrated knowledge of Microsoft Word, Excel and Access.

·         One or more years experience within a credentialing-, medical staff- or hospital-affiliated role

·         Must be familiar with accreditation standards (JCAHO, NCQA, and NPDB, preferred)

·         Demonstrated organizational skills

·         Detail-Oriented

·         Excellent interpersonal and communication skills

·         Ability to work in a team environment

 


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM


 


North American Medical Management specializes in working with leading physicians and hospitals to successfully manage the delivery of medical services. We have developed sophisticated techniques for managing the revenue and health care expenses of medical groups. NAMM currently provides MSO services to twelve PHOs and IPAs in the Chicago area serving about 90,000 managed care lives with positive results.



Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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