Correspondence Representative

Humana

1d • $40,000 - $52,300 • Remote

About The Position

As the Correspondence Representative 2, you will work in a back-office, non-phone, production-based environment reviewing and researching provider correspondence and disputes. You will root cause issues by reviewing case details, claims information, documentation, and established processes. You will research provider concerns, determining the appropriate next steps for resolution, document case activity, and generating required system-based correspondence. We are looking for associates to balance productivity expectations with accuracy, quality, and case resolution.

Requirements

• 1 or more years of Healthcare claims experience
• 2 or more years of Customer Service and/or administrative experience (in past 5 years)
• Proficiency with Microsoft Outlook (email communication)
• 1 or more year of technical experience (multiple system platforms and split screens simultaneously)

Nice To Haves

• 1 or more years of Medicare and/or Medicaid experience
• Familiarity with MHK knowledge
• CAS experience
• Familiarity with CRM knowledge
• Experience with provider reimbursement policy analysis and documentation
• Knowledge of regulatory requirements and compliance standards for health insurance.
• Microsoft Word (document creation) and Excel (formulas)

Responsibilities

• Research and resolve provider correspondence and disputes by reviewing claims, case documentation, and available system information.
• Perform detailed research and root-cause analysis while following established processes and documenting case activity.
• Generate and send required system-based correspondence and route requests to internal departments when you need additional information or review.
• Manage assigned inventory while maintaining productivity, accuracy, quality, and required turnaround times, with opportunities to cross-train.

Benefits

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

What This Job Offers

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