Credentialing Assistant 3/HGB - WAH Nationwide

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

Company info

Humana Inc.
Website : http://www.humana.com