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Home Health Self Pay Patient Accounts Receivable Specialist

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Microsoft Excel
  • Virtual Teams
  • Microsoft Word
  • Microsoft Outlook
  • Training And Development
  • Customer Service
  • Non-Verbal Communication

Roles & Responsibilities

  • High School Diploma or equivalent
  • 2+ years of medical claims processing experience
  • Knowledge of healthcare collection procedures and software/hardware
  • Proficient with Microsoft Office applications (Word, Excel, Outlook and Teams)

Requirements:

  • Coordinate claim activities and ensure timely reimbursement of receivables
  • Research, resolve, and prepare claims that have not passed payer edits daily; determine and initiate action to resolve rejected invoices
  • Analyze each agency's outstanding monthly accounts receivable and process claims to obtain zero balances
  • Clear payment variances, resolving differences, and initiating corrective action

Job description

Become a part of our caring community
 

Shift/availability details:

  • This is a remote full time position scheduled for 40 hours, 5 days a week.

  • You will be scheduled Monday-Friday for 8 hour shifts between the hours of 7am-6pm CST.

As a Home Health Self Pay Patient Accounts Receivable Specialist, you will report directly to the Accounts Receivable Supervisor for Patient Accounts. You will be responsible to:

  • Ensure the coordination of claim activities, and timely reimbursement of receivables.

  • Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

  • Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

  • Clear payment variances, resolving differences, and initiating corrective action.

  • Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.

  • Prepare input data forms to update computer system.

  • Review and communicate with agencies to educate them about expectations for clean claims.


Use your skills to make an impact
 

Required Qualifications

  • High School Diploma or the equivalent

  • 2 or more years of medical claims processing experience

  • Knowledge of healthcare collection procedures and software/hardware

  • Proficient with Microsoft Office applications including Word, Excel, Outlook and Teams

  • Excellent customer service skills

  • Excellent verbal and written communication skills

Additional Information:

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:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

  • Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.


 

$43,000 - $56,200 per year


 

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.

Application Deadline: 05-21-2026


About us
 

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.


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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