Humana

About Humana

 

Job Category:

Consumer Service Operations - Provider Network Operations

Country:

United States

Postal Code:

40201

Approximate Salary:

Not Specified

Position Type:

Full time

Provider Administraiton Contract Load Professional 2

Humana - Louisville, Kentucky

Posted: 08/3/2018

Description

The Provider Data Management & Contract Load Professional 2 is responsible for administering the installation of assigned provider accounts. The Provider Data Management & Contract Load Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Provider Data Management & Contract Load Professional 2 performs set-up, database loading, and preparation of administrative documents and materials. Provides support to provider accounts by responding to inquiries, and resolving issues of concern. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

  • Provider contract administration experience related to directories and claims payment
  • Intermediate experience using Microsoft Word, Excel, and Access
  • Strong verbal and written communication skills
  • Able to present material to internal leadership teams

Preferred Qualifications

  • 1+ years of previous provider contract administration experience
  • Expertise in, Claims processing and provider data  (ie: APEX, CAS, MTV and PIMS)
  • Associate's or Bachelor's Degree

Additional Information

Scheduled Weekly Hours

40

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