Note: The job is a remote job and is open to candidates in USA. Humana is a company specializing in health services, and they are seeking a Home Healthcare Accounts Receivable Specialist. The role involves coordinating claim activities, resolving rejected invoices, and supporting agency personnel in claims processing.
Responsibilities
- Ensure the coordination of claim activities and designated agencies, and the 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
- Works directly with patients to ensure timely payment on account balances due
Skills
- High School Diploma or the equivalent
- Effective analytical and communication skills
- Medical claims experience preferred
- Knowledge of healthcare collection procedures and microcomputer software/hardware preferred
Benefits
- Health benefits effective day 1
- Paid time off, holidays, and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- Medical, dental and vision benefits
- 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
Company Overview
Company H1B Sponsorship
Apply Now