Humana

About Humana

 

Job Category:

Consumer Service Operations - Billing & Enrollment

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full time

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Billing Reconciliation Professional 2

Humana - San Juan Rico, United States

Posted: 08/9/2018

Description

The Billing & Reconciliation Professional 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Billing & Reconciliation Professional 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

Bachelor's degree or equivalent experience

Intermediate Knowledge of Excel

Bilingual English/Spanish

Preferred Qualifications

Power MHS

5+ years in Finance related role

Additional Information

Scheduled Weekly Hours

40

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