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Billing and Enrollment Representative

Role overview

Summary

The Billing and Enrollment Representative is responsible for the accurate enrollment and billing process within Humana's insurance organization. This role supports the administrative functions by managing documents, records, and queries, ensuring efficient operations in a remote setting.

Qualifications

  • 3 years of call center experience.
  • 2+ years of experience in Accounts Receivables, Billing or Collections.
  • Demonstrated Excel skills for data submission, filtering, and sorting.
  • Ability to work during core business hours of 8:00am to 4:30pm CST, Monday through Friday.
  • Preferred: Associate's degree or above.

Responsibilities

  • Perform advanced administrative tasks related to enrollment and billing processes.
  • Maintain related documents and update corresponding records.
  • Address enrollment and billing queries and complex issues.
  • Exercise discretion and judgment in prioritizing requests.

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Analytical Skills
  • Customer Service
  • Collections
  • Decision Making
  • Time Management
  • Teamwork

About the company

Humana logo

Humana

  • Health Insurance & Payers
  • XLarge
  • 10,001+
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

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Job description

Become a part of our caring community
 

The Billing & Enrollment Representative is responsible for the accurate enrollment and billing process for an insurance organization. The Billing & Enrollment Representative performs advanced administrative/operational/customer support tasks that require independent initiative and judgment.

The Billing & Enrollment Representative maintains related documents, updates corresponding records, and responsible for enrollment and billing queries. May be responsible for or help address broad, complex enrollment and billing issues. Decisions are typically focus on methods, tactics, and processes for completing administrative tasks/projects, exercises discretion and judgment in prioritizing requests. Exercise interpretation and adaptation of procedures, processes, and techniques. This position is a remote position and will require you to be able handle multiple tasks with minimum supervision. You should have intermediate mathematical skills.


Use your skills to make an impact
 

Required Qualifications

  • 3 years of call center experience
  • 2+ years of experience in Accounts Receivables, Billing or Collections
  • Demonstrated Excel for data submission/filter, sort etc
  • Must be able to work during core business hours of 8:00am to 4:30 pm CST, Monday through Friday.

Preferred Qualifications

  • Associate's degree or above
  • Healthcare experience

Additional Information

  • You will report to a Supervisor of Billing & Enrollment.
  • This role is an individual contributor.
  • Applicants must be able to support the core business hours of 8:00am to 4:30 pm CST, Monday through Friday.

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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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