Company name
Humana Inc.
Location
Overland Park, KS, United States
Employment Type
Full-Time
Industry
Finance, Administrative
Posted on
Mar 30, 2022
Profile
Description
The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
Responsibilities
The Credentialing Assistant 3 reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Required Qualifications
Proficiency in all Microsoft Office applications, including Word and Excel
Excellent communication skills, both verbal and written
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Associate's or Bachelor's Degree in Business, Finance or a related field
Familiarity with medical terminology and/or ICD-10 codes
Work-At-Home Requirements
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com