Provider Installation Representative 2

Profile

Description

Responsibilities

The Provider Installation Representative 2 provides support to provider accounts for Humana Government Business (HGB) by performing set-up, database loading/updates, provider contract loading and preparation of administrative documents and materials. Tasks can include loading group contracts (Specialist, PCM's), making updates in the eVIPs (Provider data management software), WPS (Wisconsin Physician Services) and DEERS (Defense Enrollment Eligibility Reporting System) database platforms and conducting claims research. The Provider Installation Representative 2 performs varied activities to support provider accounts by responding to inquiries, and resolving issues of concern. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects.

This position regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications


High School Diploma or equivalent
3 years of provider contract administration or related healthcare administration experience to include contract loading, directories and/or claims payment
Ability to manage and prioritize multiple initiatives with minimal guidance
Ability to read and interpret documents such as contracts and operation manuals
Proficiency in data-entry with Microsoft Office Word and Excel
Capacity to maintain confidentiality
Meticulous attention to detail
Must be able to work 40 hours a week, 8 hour shifts between the hours of 6 a.m.-5:30 p.m. Monday through Friday. (Flex schedule provided to start between shift between 6 a.m.-9 a.m. and then work 8 hours)
Our Department of Defense contract requires U.S. citizenship for this position
If offered a position with Humana Government Business you would be required to successfully receive approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)
Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Preferred Qualifications


Knowledge or direct working experience with healthcare business applications and technology
Military health care service experience or working knowledge of TRICARE entitlement program
Expertise in claims processing
Associate's or Bachelor's Degree
Ability to type 40-50 wpm


Additional Information

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in an on-demand Text Messaging interview. For this on-demand text interview, you will be asked a series of questions to which you will be using your computer or cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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