VSP Credentialing Representative

Humana; Washington (District of Columbia); Remote; USD 40,000 - 53,000; Part time

Job summary

Humana is seeking a VSP Credentialing Representative 2 to obtain and review documentation for health plan status. This entry-level role involves managing calls, data entry, and verification of provider qualifications. Ideal candidates possess experience in dental or medical settings and proficiency in Microsoft Office. With flexible hours in a variable staffing pool, this position also offers limited benefits.

Benefits

Paid time off

401(k) retirement savings plan

Employee assistance program

Business travel and accident insurance

Qualifications

• 2 years of experience in a dental or medical provider setting or health insurance.
• 1 year of data entry experience in the past 5 years.
• 1+ years in a metric/production driven environment.

Responsibilities

• Conduct outbound and inbound calls to provider offices.
• Perform data entry and reviews of applicants' qualifications.
• Verify information accuracy and completeness.

Skills

Communication

Data Entry

Technical Aptitude

Tools

Microsoft Office Word

Microsoft Excel

Job description

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This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40,000.00/yr - $52,300.00/yr

Become a part of our caring community and help us put health first

The VSP Credentialing Representative 2 obtains and reviews documentation to determine status in a health plan.

This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits.

VSP Credentialing Representative 2

• Outbound and Inbound calls to provider office
• Data entry
• Reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence.
• Reviews the information and documentation collected, as well as verification that the information is accurate and complete
  
  

Required Qualifications

Use your skills to make an impact

• 2 years of experience in a dental or medical provider setting (assistant or front office) and/Or Health insurance industry experience
• 1 or more years of data entry experience, in the past 5 years
• 1+ years’ experience in a metric/production driven environment
• Professional experience using Microsoft Office Word and Excel
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
  
  

Preferred Qualifications

• Knowledge of state regulations pertaining to compliance in the insurance industry
• Experience with a compliance, credentialing and/or auditing
• Excellent communication skills, both verbal and written
  
  

Additional Information

• 8am- 5pm EST
  
  

This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

29

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.

Application Deadline: 06-12-2025

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Human Resources

• Industries

  Insurance

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