Billing amp Reconciliation Representative 2-Remote/Virtual in US

Profile

Description

The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

Where you Come In

Humana is looking for an experienced billing associate that truly enjoys championing the member. Our ideal candidate is invested in solving account discrepancies with critical thinking skills and attention to detail. We are seeking an individual that is self-motivated and thrives in an environment dedicated to serving our members with a positive member experience. If you are interested in working a fast paced environment and being part of a team dedicated to assisting Medicare members, please apply within.


Reconciles accounts each month, documenting any problems found during reconciliation, and provides appropriate plans that will lead to their resolution.
Provides exceptional customer service, ensuring that all interested parties are continually updated about the status of their account.
Corrects enrollment and cash posting discrepancies as they relate to billing.
Prepares documents in order to inform management, market groups, and regional personnel of the status of account issues. 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.
Makes outbound calls to members to collect premiums by setting up payment arrangements


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 2 years of billing and reconciling experience
Prior experience working in a production driven metric environment
Prior experience working in an outbound call center environment
Able to discover discrepancies and inconsistencies within accounts
Attention to Detail, Problem-Solving, and Critical Thinking Skills
Customer Service
Good Organization, Time Management, and Prioritization Abilities
Perform multiple task effectively
Must be able to work an 8 hour shift between the hours of 6am-6pmEST
Must be passionate about contributing to the organization and focused on continuously improving consumer experiences


Preferred Qualifications


High School Diploma, GED or job related certification
PBS and E-billing experience
Knowledge of Microsoft Word and Excel


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 or text 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.

#ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Company info

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