Credentialing Assistant 3/Government Business - Work at Home

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Job Information
Humana
Credentialing Assistant 3/Government Business - Work at Home
in
Springfield
Missouri
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
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
Work At Home requirements
: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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):
Work at Home Nationwide. Alternatively, from an Office (if preferred) in the Louisville, KY area (321 W Main Street. Louisville, KY 40202).
COVID VACCINATION (HGB):
For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.If progressed to offer, you will be required to:* Provide proof of full vaccination, including booster or commit to testing protocols OR   * Provide proof of applicable exemption including any required supporting documentation ​​Medical, religious, state and remote-only work exemptions are available.
Scheduled Weekly Hours
40

Company info

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