As a Network Specialist you will act as an in-office resource for Humana’s providers. You will secure fee schedules, review and provide copies of contracts, obtain credentialing applications and secure missing information. You will utilize appropriate in-house systems during each project you undertake and you will track and communicate all of your network changes.
Support Humana’s providers and communicate with Humana’s clients in order to facilitate greater physician understanding and cooperation during the contracting process.
Prepare, assemble and mail contracts on behalf of Humana, tracking the contract’s activity and regularly reporting its status.
Maintain all provider contracts and credentialing files.
Provide general administrative support to the Provider Contracting department, including typing, scheduling, and coordinating services.
Builds Trust: You honor your word by doing what you say you are going to do.
Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.
High School Degree
Prior experience in an administrative support role
Prior customer service experience
Strong attention to detail
Strong verbal and written communication skills
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
Bachelor’s Degree in Business, Finance or a related field
Prior health solutions system experience in the areas of contracting or operations
You will report to a Director.
Contracting and Provider Relations
Work Environment Type
Humana - 2 years ago
Humana Inc. (Humana) is a full-service benefits solutions company, offering an array of health and supplemental benefit plans for employer...