Credentialing Coordinator - Eden Prairie, MN

Energize your career with one of Healthcare's fastest growing
companies.  

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. 

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.  

You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.

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.
• Process provider applications and performs primary
  source verification in accordance with national accreditation standards,
  regulatory requirements and CRM Program. 
• Verify provider data, research and respond to telephone
  or written inquires from providers and other departments. 
• Analyzes provider contracts, applications and other
  material for completeness and compares to existing criteria to make
  decisions. 
• Provides written or verbal assistance to employees
  regarding application status or information contained in a provider's
  file. 
• Requests missing/additional information from clinician
  via written or verbal communication, as directed by clinical staff or as
  dictated by CRM Program. 
• Ability to complete basic tasks without
  supervision. 
• Other duties as assigned by the credentialing supervisor
  or leadership.
• 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.

Required Qualifications:

• High School Diploma/GED
• 1+ year previous alpha-numeric Data Entry experience.
• Current experience utilizing Microsoft Excel for Data
  Entry, sorting, and filtering.
• Current experience utilizing Microsoft Word for using
  spell and grammar check tools, entering information into forms, and
  creating general business correspondence.
• Any experience utilizing Microsoft Outlook for
  e-mailing and calendar management.
• Current experience using multiple computer programs and
  applications simultaneously.
• Current experience using the internet to look up and
  verify information.

Preferred Qualifications:

• Healthcare or Medical Insurance industry experience
• Adobe Pro experience
• Healthcare Provider Credentialing experience.