[Remote] Home Health Services Accounts Receivable Specialist

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