Credentialing Professional - Variable Staffing Pool
About The Position
Become a part of our caring community and help us put health first The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work assignments are often straightforward and of moderate complexity. The Credentialing Professional 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. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Equal work will be in the Facility Licensing Area. Responsible for assisting with initial, renewal, relocation and termination applications for AHCA, CLIA, Biomedical, HCCE applications. Will assist with Level 2 prints and license and certification verifications and expirables. Temporary role; 4 month duration is estimated. Use your skills to make an impact
Requirements
- Associate's degree or related experience
- A minimum of two years of credentialing experience in healthcare
- Ability to learn credentialing software; ability to complete reporting
- Ability to prioritize workload to ensure deadlines are met
- Excellent written and oral communication skills required.
- Excellent PC skills (including MS Word, Excel and Access) required.
Nice To Haves
- Bachelor degree in Business, Health Administration, Accounting or related field required.
- Familiar with CAQH
- Bilingual; English & Spanish
- Experience in managed care or health care administration desired
Responsibilities
- Assisting with initial, renewal, relocation and termination applications for AHCA, CLIA, Biomedical, HCCE applications.
- Assist with Level 2 prints and license and certification verifications and expirables.
Benefits
- Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
