Humana Looking for Credentialing Assistant 3– Limited Term at Remote Full Time

Job type full-time

Full job description

The credentialing assistant 3 obtains and reviews documentation to determine status in a health planThe credentialing assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgmentMay 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 competenceReviews the information and documentation collected, as well as verification that the information is accurate and completeDecisions are typically focus on methods, tactics and processes for completing administrative tasks/projectsRegularly 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 officeAssociates 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 25×10 (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

Hiring insights

Job activity

Posted 30+ days ago