Humana is hiring work from home in most states!
Humana is one of the largest health insurance companies in America! They have over 13 million members! Humana is a Fortune 100 company that makes over $64 billion a year! They are hiring work from home billing reps in many states!
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The Billing and Reconciliation Representative 2 will review and determine discrepancies between company records and the records of Center for Medicare and Medicaid Services. This role performs varied activities and moderately complex administrative, operational, and customer support assignments. Typically, tasks are semi-routine assignments, however, this role will be cross-functioning to support other teams for bailout tasks as needed.
Where you Come In
The Billing & Reconciliation Representative 2 reconciles accounts each month, documenting any problems found during reconciliation, and provides appropriate plans that will lead to their resolution. Outbound calls will be made to members providing exceptional customer service, ensuring that all interested parties are continually updated about the status of their account. Corrects demographic and billing discrepancies as they relate to promoting a perfect experience for our membership. 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.
• Research membership call history and enrollment applications to take appropriate action
• Review and update Medicare membership addresses, emails, phone numbers, billing payment options and other demographics
• Review variances out of Market Prominence and utilizes multiple systems (CI, MARx, CRM, GCP/CCP, etc.) to resolve issues.
• Corrects enrollment and posting discrepancies as they relate to the Monthly Membership Report for Medicare LiNET, and Medicaid accounts
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
• High school diploma or equivalent
• Medicare customer service or Billing and Reconciliation experience
• Prior experience with outbound calls
• Strong attention to detail with ability to multi-task
• Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills including ability to learn new computer programs
• Associates or Bachelor’s degree
• Experience with CI and CRM
• 1 or more year’s experience with out of service area knowledge and applications
• Proven track record to deescalate membership calls
• Knowledge of mattersight technology
• 1 or more year’s of experience with E billing, PBS, and MP
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
CLICK HERE TO APPLY NOW
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