Optum Pay Provider Enrollment Processor Contract

Our client, a prominent American multinational healthcare and insurance company is looking for an Optum Pay Provider Enrollment Processor to join their team in Eden Prairie, MN for a 3 month contract with opportunity for extension and conversion. The Pay Rate will be between $18.00-$21.00/hr based on experience.

Job Summary:
The Optum Pay Provider Enrollment Processor will be responsible for performing the appropriate processes to enroll and maintain enrollment for Optum Pay providers. Enrollment includes validating provider financial and business information. The processor will review, investigate and process enrollment using the Optum Pay applications. Conducts data entry and re-work; analyzes and identifies fraud enrollment trends as necessary.

Responsibilities:
• Provide expertise or general support by reviewing, researching, investigating, processing and adjusting Optum Pay enrollments
• Authorize enrollment or refer to investigators for further review analyze and identify trends and provides reports as necessary
• Strive for provider service excellence
• Outbound provider calls as needed
• Consistently meet established productivity, schedule adherence and quality standards
• Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
• Safeguard transactions and escalate when applicable
• Adapt to changing business objectives
• Verify true providers and the activity on their account
• Thoroughly review enrollment items for fraudulent activity
• Apply expanded knowledge base of fraud schemes to assist in handling of specialized fraud functions such as identity theft and cross-channel fraud
• Other duties as assigned

Position Requirements:
• Ability to sit/stand for extended periods of time
• Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to manage multiple systems and applications
• Ability to multi-task – this includes ability to understand multiple products and multiple levels of benefits within each product
• Self-Starter
• Ability to work overtime as required
• Ability to work a flexible schedule including weekends

Minimum Qualifications:
• High school education or equivalent
• 2+ years of work experience in an office environment, healthcare related/insurance related field or customer service industry
• Prior experience working on a computer
• Problem solving skills
• Self -Starter and detail oriented

#CB

Rate/Salary: $18.00-$21.00/hr