Provider Installation Representative

San Antonio, Texas, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a minimum of 1 year of administrative, support, or data entry experience, along with at least 1 year of healthcare background including an understanding of Medicare and Medicaid. Proficiency in using multiple computer applications simultaneously, a proactive attitude, excellent time management skills, and comfort with process changes are essential. Prior experience with Microsoft Office programs is required. Preferred qualifications include experience with specific systems like DD, qTest, HPAS, Wicket, APEX, PMPD, PAAG, CAS, and Mentor, as well as prior work in a fast-paced, metric-driven setting and excellent communication skills.

Responsibilities

The Provider Installation Representative will be responsible for building forms, typically in June and July, and maintaining accurate provider information for online and printed directories. Key duties include inputting data criteria into DD, proofreading paper directories every 30 days, submitting and closing out defects found within directories, reviewing dashboard reports for potential issues, and researching provider information sent via email. The role also involves collaborating with the IDC team and Directories Team Auditors to ensure a positive member experience.

Skills

Data Entry

Directory Management

Defect Tracking

Research

Collaboration

Administrative Support

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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