Credentialing Assistant 3 - Limited Term Temp

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Description

Responsibilities

This is a temporary position, working 40 hours/week for the rest of 2022.

Implements and monitors procedures and activities related to certification and credentialing of providers within the Tricare East Region and Humana Government Business operations. The position is responsible for communicating with providers, external vendors, internal associates, and other third parties by phone, e-mail, fax, etc. regarding certification and credentialing information and status. Must ensure compliance with state, federal, and internal certification and credentialing requirements. Utilizes internal and external information systems to collect and verify information for certification and credentialing activities. Ensures accuracy of provider information in Humana Government Business systems.

KEY ACCOUNTABILITIES


Review provider certification and credentialing applications for completeness and accuracy. Perform certification and credentialing activities via data collection, confirmation, and verification. Ensuring accurate and timely data entry.
Intervene as necessary to resolve issues involving unusual cases and processes, responding to internal associates and external provider/provider office staff, i
Supports the certification and credentialing processes.


Required Qualifications


Our Department of Defense Contract requires U.S. citizenship for this position
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
Data entry experience


Preferred Qualifications


Two years experience in provider relations, customer service in healthcare field or credentialing
Knowledge of URAC credentialing standards
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

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

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