Medicare Reconciliation Billing Specialist – Louisville

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.



Role: Billing & Enrollment Specialist
Assignment: Medicare Processing
Location:

Are you a fit?
Are you a detail-oriented problem solver? Would you enjoy providing guidance to internal and external customers?

Assignment Capsule
As a B&E Specialist for Medicare Processing you will: build trusting and productive relationships with Humana's customers while auditing and reconciling premium payments, resolving any discrepancies discovered during the reconciliation process, and monitoring accounts receivable to ensure the accurate and timely collection of all payments.

• Ensure compliance with all Federal Medicare statutes and policies
  
• Review claims, enrollment, and online Medicare systems in order to identify members who are disabled, hospice eligible or who qualify for Medicare benefits
  
• Coordinate with other associates and with other departments to ensure that all information is accurately updated in the Medicare system and that Humana receives the correct reimbursements

• Build Trust: You honor your word by doing what you say you are going to do.
  
• Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
  
• Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
  
• Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.

• High School Diploma
  
• Proficiency in all Microsoft Office Programs, e.g. Word, PowerPoint, Excel, Access, etc.
  
• Ability to type 50-55 wpm

• Associate's or Bachelor's Degree
  
• Previous administrative or related experience
  
• Experience with Lotus Notes

• You will report to a Supervisor. This area is under the leadership of the SVP & Chief Operating Officer.