Correspondence Representative

Humana

1d • Remote

About The Position

Become a part of our caring community and help us put health first The Resolution Team - Provider Correspondence team is looking for a fully remote Correspondence Representative. You will perform research, documentation, and interpretation for the provider reimbursement programs. You will update, maintain, and reviews fee scheduling and pricing structures. You will ensure that you price and apply contracted rates and reimbursement policies. As a Correspondence Representative 2 you will: Make reimbursement policy and process recommendations and ensure compliance with government regulations. Analyze provider reimbursement patterns and trends. Make decisions that are typically focused on methods and processes for completing administrative tasks/projects. Exercise judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques. Use your skills to make an impact

Requirements

• 1+ years of technical skills with the ability to work across multiple software systems including Outlook, Teams
• 2+ years of Customer Service and/or administrative experience
• Proficiency with Microsoft office applications (Word, Excel, Outlook)
• Associates in this role are required to be hard-wired to their internet connection.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• 1+ years of claims experience
• 1+ years of Medicare and/or Medicaid experience
• MHK knowledge
• CRM knowledge
• CAS experience

Responsibilities

• Perform research, documentation, and interpretation for the provider reimbursement programs.
• Update, maintain, and reviews fee scheduling and pricing structures.
• Price and apply contracted rates and reimbursement policies.
• Make reimbursement policy and process recommendations and ensure compliance with government regulations.
• Analyze provider reimbursement patterns and trends.
• Make decisions that are typically focused on methods and processes for completing administrative tasks/projects.
• Exercise judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed