Credentialing and Enrollment Coordinator
Foodsmart- Full Time
- Junior (1 to 2 years)
Candidates should possess at least 1 year of administrative, support, data entry, or related professional experience, along with 1 year of experience in a metric/production driven environment. They must have comprehensive knowledge and proficiency in Microsoft Office Programs, including Word, Outlook, Excel, PowerPoint, and Teams, and be able to articulate ideas effectively in both written and oral forms. Applicants must meet Humana’s Work at Home connectivity requirements and may be asked to provide their Social Security Number.
The Credentialing Assistant 3 will perform initial and recredentialing via APEX, correct errors identified by leadership via APEX, outreach to providers/facilities to obtain missing/expired information, manage their own time to accomplish necessary tasks on time, and help drive the timely credentialing and recredentialing initiatives needed to maintain Humana’s network. They will also ensure Humana’s policy remains in line with NCQA, URAC, and state requirements to maintain accreditation.”} Enforcing HIPAA guidelines while working remotely.
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.