[Remote] Provider Installation Representative 2 at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Minimum of 1 year of administrative support and data entry
Minimum of 1 year of healthcare related background with an understanding of Medicare and Medicaid
Minimum of 1 year of experience in provider data management, provider directory systems or credentialing systems
Understanding of healthcare provider types, specialties or network structures
Experience interpreting reports and data extracts to identify trends or discrepancies
Experience using multiple computer applications simultaneously
A positive, proactive attitude with a passion for consumer experience
Self-starter with excellent time management skills
Work well independently and as a team
Comfortable with constant process changes/adapting to new processes
Attention to deadlines and ability to prioritize tasks
Prior experience using Microsoft Office Programs, including Word, Excel, OneNote, PowerPoint
Must meet Humana's Work at Home connectivity requirements
Hours: Monday – Friday, first 90 days 7:00am – 3:30pm (flex time after probation); department hours 6am – 6pm but must log in by 9:00am; 40-hour work weeks with potential overtime June – October

Responsibilities

Administers the installation of assigned provider accounts
Performs set-up, database loading, and preparation of administrative documents and materials
Performs varied activities and moderately complex administrative/operational/customer support assignments
Performs computations
Building forms (typically completed in June and July each year for the following year)
Reviews directories (in PDF form) every 30 days to maintain accurate provider information
Input data criteria in DD (Directory Designer)
Proof paper directories (recycled every 30 days all year)
Submit defects found within directories
Defect closeouts to be completed after submitted defect has been corrected
Review dashboard reports from IT of potential issues identified by IT
Research providers information identified by the market and customer service sent via email
Collaborate with IDC (Internet Directory Creator) team and Directories Team Auditors to achieve a positive member experience

Skills

Key technologies and capabilities for this role

data entryadministrative supportDirectory DesignerPDF proofingdefect reportingdashboard reportsprovider research

Humana

Health insurance provider for seniors and military

About Humana

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.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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