remote Full-time

Unknown Company is hiring a Credentialing Assistant

About the Role

Humana is looking for a Credentialing Assistant to join our team. In this role, you will obtain and review documentation to determine provider status, performing both initial and recredentialing via APEX to maintain Humana's network accreditation.

What You'll Do

  • Perform initial credentialing via APEX.
  • Perform recredentialing via APEX.
  • Correct errors as identified by leadership via APEX.
  • Outreach to providers and facilities to obtain missing or expired information.
  • Manage your own time to accomplish all necessary tasks on schedule.
  • Help drive timely credentialing initiatives needed to maintain the network.
  • Work in a production-driven environment, including outreach to providers via phone.

What We're Looking For

  • 1+ years of administrative, support, data entry, or related professional experience.
  • 1+ years of experience in a metric or production-driven environment.
  • Prior professional experience using Microsoft Office (Word, PowerPoint, Excel).
  • Demonstrated ability to articulate ideas effectively in both written and oral forms.

Nice to Have

  • Associate's or Bachelor's Degree in Business, Finance, or a related field.
  • Healthcare experience.
  • Credentialing, Contract Load, Service Fund, Directories, or CIS experience.
  • Provider Network Operations or National Network Operations experience.
  • Familiarity with medical terminology.

Technical Stack

  • APEX
  • Microsoft Office (Word, PowerPoint, Excel)

Team & Environment

You will be part of the Credentialing Department.

Benefits & Compensation

  • Compensation: $43,000 - $56,200 per year.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave.
  • Short-term and long-term disability insurance.
  • Life insurance.

Work Mode

This is a remote position.

Humana is committed to putting health first. It is our policy not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status.

Required Skills
APEXMicrosoft OfficeExcelWordPowerPointData EntryAdministrative SupportCredentialingComplianceAttention to DetailCommunicationOrganizationTime ManagementProblem Solving
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Posted 8 months ago