CREDENTIALING PROFESSIONAL 2
Company: Humana
Location: Hartford
Posted on: September 13, 2024
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Job Description:
Become a part of our caring community and help us put health
firstThe Credentialing Professional 2 obtains and reviews
documentation to determine status in a health plan. The
Credentialing Professional 2 work assignments are varied and
frequently require interpretation and independent determination of
the appropriate courses of action.The Credentialing Professional 2
reviews the applicant's education, training, 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. Understands
department, segment, and organizational strategy and operating
objectives, including their linkages to related areas. Makes
decisions regarding own work methods, occasionally in ambiguous
situations, and requires minimal direction and receives guidance
where needed. Follows established guidelines/procedures.Use your
skills to make an impactRequired QualificationsPrior work
experience in a compliance or auditing functionComprehensive
knowledge of all Microsoft Office applications, including Word,
Excel and PowerPointStrong written and oral communication
skillsDemonstrated attention to detail and accuracyProven
analytical skills and creative thinkerDemonstrated ability to
respond effectively as issues ariseSelf-motivated with an ability
to manage multiple priorities and work under pressure to meet
deadlinesAbility to interact effectively with associates across all
levels of the organizationMust be passionate about contributing to
an organization focused on continuously improving consumer
experiencesDental Credentialing experience requiredUse of Sales
Force for tracking experience is requiredDental Provider experience
is requiredOutbound phone calls experienceMS Excel experience and
proficiency is requiredPreferred QualificationsKnowledge of state
regulations pertaining to compliance in the insurance
industryMinimum 2 - 4 years of healthcare / insurance industry
experienceProject Management skillsAdditional InformationAt
minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps
is recommended; wireless, wired cable or DSL connection is
suggested.Satellite, cellular and microwave connection can be used
only if approved by leadershipAssociates who live and work from
Home in the state of California, Illinois, Montana, or South Dakota
will be provided a bi-weekly payment for their internet
expense.Humana will provide Home or Hybrid Home/Office associates
with telephone equipment appropriate to meet the business
requirements for their position/job.Work from a dedicated space
lacking ongoing interruptions to protect member PHI / HIPAA
informationScheduled Weekly Hours40Pay RangeThe compensation range
below reflects a good faith estimate of starting base pay for full
time (40 hours per week) employment at the time of posting. The pay
range may be higher or lower based on geographic location and
individual pay will vary based on demonstrated job related skills,
knowledge, experience, education, certifications, etc.$52,500 -
$72,300 per yearThis job is eligible for a bonus incentive plan.
This incentive opportunity is based upon company and/or individual
performance.Description of BenefitsHumana, Inc. and its affiliated
subsidiaries (collectively, 'Humana') offers competitive benefits
that support whole-person well-being. Associate benefits are
designed to encourage personal wellness and smart healthcare
decisions for you and your family while also knowing your life
extends outside of work. Among our benefits, Humana provides
medical, dental and vision benefits, 401(k) retirement savings
plan, time off (including paid time off, company and personal
holidays, volunteer time off, paid parental and caregiver leave),
short-term and long-term disability, life insurance and many other
opportunities.About usHumana Inc. (NYSE: HUM) is committed to
putting health first - for our teammates, our customers and our
company. Through our Humana insurance services and CenterWell
healthcare services, we make it easier for the millions of people
we serve to achieve their best health - delivering the care and
service they need, when they need it. These efforts are leading to
a better quality of life for people with Medicare, Medicaid,
families, individuals, military service personnel, and communities
at large.Equal Opportunity EmployerIt is the policy of Humana 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 veteran status. It is also the policy of
Humana to take affirmative action to employ and to advance in
employment, all persons regardless of race, color, religion, sex,
sexual orientation, gender identity, national origin, age, marital
status, genetic information, disability or protected veteran
status, and to base all employment decisions only on valid job
requirements. This policy shall apply to all employment actions,
including but not limited to recruitment, hiring, upgrading,
promotion, transfer, demotion, layoff, recall, termination, rates
of pay or other forms of compensation and selection for training,
including apprenticeship, at all levels of employment.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
https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Keywords: Humana, Meriden , CREDENTIALING PROFESSIONAL 2, Other , Hartford, Connecticut
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