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The Senior Credentialing Representative 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. Senior Representatives 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.Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.