Offer summary

Qualifications:

Minimum of 2 years experience in a dental or medical provider setting or health insurance industry., At least 1 year of data entry experience within the past 5 years., Experience working in a metric or production-driven environment for over a year., Proficiency with Microsoft Office Word and Excel, with a good technical aptitude..

Key responsibilities:

Review and verify documentation to determine provider status in health plans.

Handle outbound and inbound calls to provider offices.

Perform data entry and ensure accuracy of collected information.

Assess education, training, licensure, and professional credentials of providers.

Job description

Become a part of our caring community and help us put health first

The VSP Credentialing Representative 2 obtains and reviews documentation to determine status in a health plan.

VSP Credentialing Representative 2

Outbound and Inbound calls to provider office
Data entry
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

Use your skills to make an impact

Additional Job Description

Required Qualifications

2 years of experience in a dental or medical provider setting (assistant or front office) and/Or Health insurance industry experience
1 or more years of data entry experience, in the past 5 years
1+ years’ experience in a metric/production driven environment
Professional experience using Microsoft Office Word and Excel
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Preferred Qualifications

Knowledge of state regulations pertaining to compliance in the insurance industry
Experience with a compliance, credentialing and/or auditing
Excellent communication skills, both verbal and written

Additional Information

8am- 5pm EST

This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The 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.

$40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.

About us

Humana 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 Employer

It 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

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