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Hours Full-time, Part-time
Location Miami, FL
Miami, Florida

About this job

Position Description:

Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers. Includes processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Conducts audits and provides feedback to reduce errors and improve processes and performance. Responsible for the development of credentialing policies and procedures. May oversee primary source verification activities.

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)

Primary Responsibilities:
  • 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. 
  • Moderate work experience within own function.
  • Some work is completed without established procedures.
  • Basic tasks are completed without review by others.
  • Supervision/guidance is required for higher level tasks.

Requirements

Required Qualifications:
  • High School Diploma/GED
  • Bilingual English and Spanish - must be capable of reading, writing, and speaking
  • Ability to utilize MS Excel for data entry, sorting, filtering, and updating files within reports
  • Ability to utilize MS Word for creating correspondence, entering information within forms/templates, utilizing spell/grammar check tool.
  • 2+ years Previous experience in an administrative, customer service, data entry, or operations support role

Preferred Qualifications:

  • Previous experience within the Healthcare Industry
  • Previous healthcare provider credentialing experience
Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.SM


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.