Home Health Self Pay Patient Accounts Receivable Specialist

Responsibilities

• Ensure the coordination of claim activities, and 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.

Requirements

• A High School Diploma or equivalent.
• At least 2 years of medical claims processing experience.
• Knowledge of healthcare collection procedures and software/hardware.
• Proficient with Microsoft Office applications including Word, Excel, Outlook and Teams.
• Excellent customer service skills.
• Excellent verbal and written communication skills.

Additional Information

• Shift/availability Details: This is a remote full time position scheduled for 40 hours, 5 days a week. You will be scheduled Monday-Friday for 8 hour shifts between the hours of 7am-6pm CST.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Scheduled Weekly Hours: 40 hours per week.
• Pay Range: $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: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM).
• 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.