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Credentialing Assistant 3/HGB - WAH Nationwide
Company name
Humana Inc.
Location
Metairie, LA, United States
Employment Type
Full-Time
Industry
Finance, Administrative
Posted on
Apr 06, 2021
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
Our Department of Defense contract requires U.S. Citizenship
High School Diploma
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
Additional information
Schedule: Monday to Friday from 8 am to 5 pm.
Training: Approximately 2-4 weeks, remote/virtual training
Work Location (Address): WAH Nationwide
Scheduled Weekly Hours
40
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Website : http://www.humana.com
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