Billing amp Reconciliation Representative 2-Remote in US

Profile

Job Information

Humana

Billing & Reconciliation Representative 2-Remote in US

in

St Cloud

Minnesota

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

Billing & Reconciliation Representative 2-Remote/Virtual in US

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 tasks 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

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination OR

Commit to weekly testing, following all CDC protocols, OR

Provide documentation for a medical or religious exemption consideration.

This policy will not supersede state or local laws. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.

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, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice 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

Humana Inc.
Website : http://www.humana.com