You will represent us by performing the following:
· Pharmacy finance handles outbound member calls related to billing inquiries, credit card declines, payment plans, check by phone payments, and outstanding balances on accounts.
· Addressing customer needs which may include complex financial questions, resolve issues, and educate members. Recording details of inquiries, comments or complaints, transactions or interactions and acts in accordance to it.
· Process Part B claims for PDP members.
· Advanced unresolved and pending customer grievances.
· Will work under close guidance and within established practices and guidelines with minimal opportunity for deviation. Decisions include defined parameters around work expectations, quality standards, priorities and timing.
· Perform responsibilities associated with accounts payable processing and reporting.
Required Qualifications
· Must have an active license with the Board of Pharmacy in the appropriate state.
· National Certification, PTCB CphT
· 1 year finance experience
· Must reside in AZ or TX
Preferred Qualifications
· Pharmacy Operations tech experience
· Call center/customer service experience
· MS office proficiency specifically with Power Point and Excel
Additional Information
Workstyle: Remote, AZ or TX
Interview Format
As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedu
Work at Home Criteria
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
We recommend at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL connection.
Leadership approves satellite, cellular and microwave connection only if it uses them.
We will provide employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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