Network Operations Coordinator

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $44.9k - $60.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🌐 Network Operations

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Manage provider data for health plans, including demographics, rates, and contract intent • Manage provider audits, provider service and relations, credentialing, and contract management systems • Execute intake processes and manage provider perceived service failures • Determine methods, tactics, and processes for completing administrative tasks and projects • Prioritize requests and interpret and adapt procedures, processes, and techniques • Occasionally travel to Humana offices for training or meetings

🎯 Requirements

• Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc. • Data analytic experience • Intermediate skills with Microsoft Office • Proficient in Excel • Ability to multi-task and work in a deadline driven environment • Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speeds • Provider credentialling experience preferred • Previous experience in claims preferred • Prior contract review, loading or interpretation experience preferred

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance

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