[Remote] Billing and Enrollment Representative at Humana

Wisconsin, United States

Apply Now

Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

1+ years of experience in Accounts Receivables, Billing or Collections
Demonstrated Excel skills for data submission/filter, sort etc
Passionate about contributing to an organization focused on continuously improving consumer experiences
Ability to work during core business hours of 8:00am to 4:30 pm CST, Monday through Friday
Associate's in accounting/finance (Preferred)
Experience with Medicaid Programs (Preferred)
Minimum internet download speed of 25 Mbps and upload speed of 10 Mbps

Responsibilities

Determine financial obligation towards room and board costs for iCare and Inclusa members
Enter and generate invoices for member financial obligations towards room and board, cost share or patient liability
Apply member payments and reconcile accounts each month
Document any problems found during reconciliation and provide follow up, including collection activities for past due balances
Provide exceptional customer service, ensuring that all interested parties are continually updated about the status of their account
Correct and/or update invoices amounts, based on reported changes or cost share reports
Document collection efforts and reported changes that impact member billing
Prepare documents to inform management, internal parties and external stakeholders of the status of account issues
Prioritize requests and interpret and adapt procedures, processes and techniques
Perform advanced administrative/operational/customer support duties that require independent initiative and judgment

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free