Billing amp Reconciliation Representative - Nationwide Work at Home

Profile

Description

The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments

Responsibilities

The Billing & Reconciliation Representative 2

Reconciles accounts each month, documenting any problems found during reconciliation, and provides appropriate plans that will lead to their resolution.

Provides exceptional customer service, ensuring that all interested parties are continually updated about the status of their account.

Corrects enrollment and cash posting discrepancies as they relate to billing.

Prepares documents in order to inform management, market groups, and regional personnel of the status of account issues. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments.

Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Makes outbound calls to collect premiums by setting up payment arrangements

Required Qualifications

High School Diploma or equivalent

2 years of Customer Service experience

Ability to remain focused and productive each day though tasks may be repetitive

Strong attention to detail

Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills

Preferred Qualifications

Prior experience with Medicare

Prior Billing and/or Reconciliation Experience

Additional Information for Work at Home

Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.

Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

The Department hours are between 6:00am-6:00pm EST.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com