Billing amp Reconciliation Representative 2-Remote/Virtual in US

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, including outbound phone calls.

Responsibilities

Where you Come In

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. Outbound calls will be made to members providing exceptional customer service, ensuring that all interested parties are continually updated about the status of their account. Corrects demographic and billing discrepancies as they relate to promoting a perfect experience for our membership. 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.


Research membership call history and enrollment applications to take appropriate action

Review and update Medicare membership addresses, emails, phone numbers, billing payment options and other demographics
Review variances out of Market Prominence and utilizes multiple systems (CI, MARx, CRM, GCP/CCP, etc.) to resolve issues.
Corrects enrollment and posting discrepancies as they relate to the Monthly Membership Report for Medicare LiNET, and Medicaid accounts


What Humana Offers

We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications - What it takes to Succeed


Minimum 1 year customer service experience
Minimum 1 year experience handling inbound or outbound calls in a service center environment
Demonstrated ability in successful application of computer and Windows PC applications, which includes strong keyboard and navigation skills. Proven demonstrated ability to learn new computer programs
Strong attention to detail across multiple systems and applications, including demographic updates. Ability to multi-task, including proper notation in all systems while providing a perfect experience to Humana membership over the phone.
Experience with Medicare out of service area knowledge and applications


Preferred Qualifications


High School Diploma, GED or job related certification
Experience reconciling Medicare Individually Billed accounts
Associates or Bachelor's degree
Experience working with CI and CRM
Proven track record to deescalate membership calls
Experience working with E billing, PBS and MP


Additional Information - How we Value You


Benefits starting day 1 of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parent Leave
Go365 perks for well-being

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 at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps


Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

Scheduled Weekly Hours

40

Company info

Sign Up Now - CustomerServiceCrossing.com