Humana Hiring for Provider Connectivity Professional 2 – Remote/Virtual in US at Lexington, Kentucky Full Time

Description

The Provider Connectivity Professional 2 provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including authorizations/referrals, eligibility and benefits, electronic attachments and clearinghouse activities). The Provider Connectivity Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Where you Come In

The Provider Connectivity Professional 2 responds to complex inquiries relating to EDI from providers, vendors and internal departments. 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.

What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications – What it takes to Succeed

• Minimum of an Associates degree

• Strong knowledge of Microsoft products Excel & PowerPoint

• Prior EDI experience

• Experience building reports

• Ability to identify trends, communicate results, and make recommendations

• Excellent organizational skills

• Demonstrated verbal and written communication skills

• Flexible and ability to adapt to change to support ongoing business needs

Preferred Qualifications

• Clinical Data Experience

• Strong knowledge of SQL, Access & Visio

• Experience with Availity Reporting

• Experience in HIPAA X12 transactions; Eligibility & Benefits and Referrals, Authorizations, and Attachments

• SharePoint knowledge

• Knowledge of provider office processes and experience working in the provider space

• Experience building reports in SSRS or a similar tool

• Experience with querying and extracting data from different data sources to include EDW, SQL, and Access databases

Additional Information – How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

• Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.

• Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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 for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

Scheduled Weekly Hours

40