Humana

Billing & Reconciliation Representative

San Antonio, Texas, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Part TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

Candidates must possess strong analytical skills, keen attention to detail, and excellent communication abilities. Proficiency in MS Excel at a beginner-to-intermediate level is required, along with experience in other MS Office tools like Outlook, PowerPoint, and Access. The ability to manage time effectively and prioritize tasks to meet deadlines is essential. A passion for improving consumer experiences is also a key requirement. While not mandatory, a Bachelor's degree and prior experience in billing, finance, or accounting, especially within the hospice or pharmacy patient data management sector, are preferred qualifications.

Responsibilities

The Billing & Reconciliation Representative will review and reconcile the monthly census for hospice patients. They will assist in preparing monthly customer invoices and address various billing issues related to hospice accounts. The role involves working within defined parameters to meet work expectations and quality standards, with some autonomy in prioritization and timing, operating under minimal direction and following standard policies that allow for interpretation and independent discretion.

Skills

Billing
Reconciliation
MS Excel
MS Office
Outlook
PowerPoint
Access
Time Management
Prioritization
Analytical Skills
Attention to Detail
Communication 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.

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