Provider Enrollment Representative

• Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
• Conduct audits and provide feedback to reduce errors and improve processes and performance
• Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others
• Solve complex problems on own; proactively identify new solutions to problems
• Act as a facilitator to resolve conflicts on team
• Perform as key team member on project teams spanning more than own function
• Ability to submit 10 to 15 applications daily
• Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements
• Performs other duties as assigned

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

• High School Diploma/GED (or higher)
• 2+ years of experience in submitting at least 10-15 behavioral health provider payer enrollment applications
• 2+ years of experience with submitting commercial payer enrollment applications
• 2+ years of experience in submitting enrollment applications to that include at least 10 different payer enrollments within these states-Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, Nebraska
• 2+ years of experience in submitting follow ups and issue resolutions from at least 10 different payer enrollments from these states Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, Nebraska
• 2+ years of experience working with compliance workflows and processes, including NCQA policies and practices
• 2+ years of experience in researching and applying government regulatory information
• Intermediate level of proficiency with MS Excel and Word
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to work from 8:00 am to 5:00 pm CST

• Knowledge of payers and provider enrollment applications for the following states: Oklahoma, Hawaii, Arizona, Wisconsin, Minnesota California, Washington, Oregon, and Nebraska

• Ability to work independently and as a team, and maintain good judgment and accountability
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Demonstrated ability to work well with health care providers and team members
• Strong organizational and time management skills
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

UnitedHealth Group