Credentialing Specialist at UnitedHealth Group, Honolulu, Hawaii
Job Description
Company Overview:
UnitedHealth Group is a leading healthcare company dedicated to helping people live healthier lives and making the healthcare system work better for everyone. With a focus on innovation and excellence, UnitedHealth Group is committed to providing quality healthcare solutions to individuals and communities across the globe.
Key Responsibilities for Credentialing Specialist:
- Conduct thorough credentialing processes for healthcare providers to ensure compliance with regulatory standards and company policies.
- Verify professional licenses, certifications, education, training, and work experience of healthcare providers.
- Maintain accurate and up-to-date credentialing records in compliance with accreditation standards.
- Collaborate with internal teams to resolve credentialing issues and discrepancies in a timely manner.
- Monitor and track credentialing timelines to ensure timely completion of provider enrollment processes.
- Communicate effectively with healthcare providers to obtain necessary credentialing information and documentation.
Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field.
- Minimum of 2 years of experience in healthcare credentialing or provider enrollment.
- Strong knowledge of credentialing processes, regulatory requirements, and accreditation standards.
- Proficiency in using credentialing software and database systems.
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
Desired Skills:
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) credential.
- Experience working with healthcare payers and provider networks.
- Knowledge of healthcare compliance regulations such as HIPAA and CMS guidelines.
- Ability to analyze and interpret complex credentialing data.
Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at UnitedHealth Group in Honolulu, Hawaii is $45,000 to $60,000, commensurate with experience and qualifications. In addition to competitive pay, UnitedHealth Group offers a comprehensive benefits package including medical, dental, vision, 401(k) retirement plan, paid time off, and opportunities for career development and advancement.
How to Apply:
To apply for the Credentialing Specialist position at UnitedHealth Group in Honolulu, Hawaii, please visit our careers website and submit your resume and cover letter. Only shortlisted candidates will be contacted for further steps in the selection process. Thank you for your interest in joining UnitedHealth Group's mission to improve healthcare outcomes for individuals and communities worldwide.
Required Skills
- Public Health Administration
- Community Health Program Management
- Health Policy Development
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