Provider Credentialing Advocate

Posted Yesterday
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Maryland Heights, MO, USA
In-Office
20-36 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Provides phone and chat support to healthcare providers, customers, and internal partners regarding credentialing, contracting, demographic updates, and recredentialing. Identifies and resolves inquiries, coordinates across departments, educates users on requirements and self-service resources, escalates complex issues, proactively contacts providers, and documents interactions. The role is fully remote within the United States and emphasizes first-contact resolution, communication, and relationship management.
Summary Generated by Built In
Requisition Number: 2385625
The Provider Credentialing Advocate is responsible for providing expertise and customer service support to providers, customers, and/or clients through a hybrid service model utilizing both phone and chat channels. You will have direct customer interaction to answer and resolve a wide variety of inquiries. You will work closely with internal and external customers to ensure proper resolution of our provider contracting, credentialing and demographic issues. Simultaneously coordinate and communicate with providers, customers, clients and/or internal partners through multiple communication channels in an effort to resolve issues efficiently and effectively.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Demonstrate understanding of internal/external factors that may drive questions/issues (e.g., recent plan changes, contracting/cred changes, mass mailings, chat/call routing, weather emergencies)
  • Ask appropriate questions and listen actively to identify underlying questions/issues
  • Educate customers on self-service resources available to them, and on their responsibilities with regard to credentialing, contracting and demographic attestations, recredentialing cycles, etc.
  • Manage relationships with internal partners, to ensure coordination of resolution activities
  • Identify and coordinate internal resources across multiple departments to address situations, and escalate to appropriate resources as needed
  • Proactively contact customers as needed to address questions/issues (e.g., providers)
  • Utilize appropriate knowledge resources to drive resolution of applicable questions/issues (e.g., CAQH, APRIL tools, NDB, IMPACT, knowledge bases, product manuals, SharePoints)
  • Escalate issues as appropriate, via email and/or verbally to leaders
  • Ensure first contact resolution whenever possible providing real time education and solutions
  • Ensure proper documentation of customer interactions

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 1+ years client facing customer service experience
  • Intermediate proficiency with communication, interpersonal and motivational skills at an individual level
  • Intermediate business writing skills - ability to organize complex and detailed information into summaries
  • Intermediate proficiency with multi-tasking, lead resolution for contractual and demographic disputes, partner and be accountable to leadership

Preferred qualifications:
  • Strong organizational and technical skills
  • Excellent communication skills both written and oral
  • Able to work with a sense of urgency in tight deadline situations
  • The ability to balance multiple responsibilities effectively
  • Change champion, out of the box thinker

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

Skills Required

  • 1+ years of client-facing customer service experience
  • Intermediate communication, interpersonal, and motivational skills
  • Intermediate business writing skills, including organizing complex information into summaries
  • Intermediate multitasking proficiency
  • Ability to lead resolution for contractual and demographic disputes
  • Ability to partner with and remain accountable to leadership
  • Strong organizational and technical skills
  • Excellent written and oral communication skills
  • Ability to work with urgency under tight deadlines
  • Ability to balance multiple responsibilities effectively
  • Change champion and out-of-the-box thinker

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Parental & Family Support Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
  • Retirement Support A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
  • Equity Value & Accessibility An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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