Correspondence Representative

Humana • PR

72d • $30,000 - $39,200

About The Position

The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing structures. Ensure contracted rates and reimbursement policies are priced and applied accurately.

Requirements

• Must reside within 1 hour from our Corporate Building in San Juan, Puerto Rico.
• 1+ years of strong technical skills with the ability to work across multiple software systems and monitors including Outlook, Teams.
• 2+ years of Customer Service and/or administrative experience.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Proficiency with Microsoft office applications (Word, Excel, Outlook).

Nice To Haves

• High School Diploma or GED.
• CAS experience.

Responsibilities

• Making reimbursement policy and process recommendations and ensures compliance with government regulations.
• Analyzing provider reimbursement patterns and trends.
• Making decisions that are typically focused on methods, tactics and processes for completing administrative tasks/projects.
• Regularly exercising discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques.
• Working under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays.
• Volunteer time off.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees