Correspondence Representative 2

Company: Humana
Location: Springfield
Posted on: May 27, 2023

Job Description:

Description
The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing structures. Ensures contracted rates and reimbursement policies are priced and applied accurately. The Correspondence Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
The Correspondence Representative 2 makes reimbursement policy and process recommendations and ensures compliance with government regulations. Analyzes provider reimbursement patterns and trends. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications

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  Minimum 1 year experience using multiple system platforms and split screens simultaneously
  
  
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  Proficiency in all Microsoft Office Word, and Outlook, basic understanding of Excel
  
  
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  Excellent communication skills to include writing, speaking, listening, providing or accepting feedback, and team building
  
  
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  Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  
  
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  Commitment to preserving confidentiality
  
  
  Preferred Qualifications
  
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    Experience in a healthcare environment
    
    
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    Claims processing experience
    
    
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    Experience using Mentor documents
    
    
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    Experience working in CAS and/or MTV
    
    
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    Contract Information System (CIS) experience
    
    
    Required Work Schedule
    
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      Virtual Training will start day one of employment and run the first 8 weeks with a schedule of 8am - 4:30pm EST, Monday - Friday. Attendance is vital for success, so no time off is allowed during training.
      
      
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      Flexible schedule may be considered once training is complete and metrics, performance targets are met. Leader will discuss during interview.
      
      
      Benefits
      
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        Effective day one
        
        
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        Competitive pay/salary ranges
        
        
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        PTO
        
        
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        VTO day
        
        
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        REACH
        
        
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        401K Match- Immediate company match of 125 percent on the first 6 percent of your pretax 401(k) or Roth 401(k) contributions.
        
        
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        Well-being program
        
        
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        Tuition Reimbursement
        
        
        Culture
        
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          Financial strength of the company
          
          
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          Our dedication to our associates. We make thoughtful decisions and willingness to work with our associates.
          
          
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          Work Life Balance
          
          
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          Work Styles
          
          
          Mission, Vision, Values
          
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            Bold Goal
            
            
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            Humana is a well-being company, and we focus on the consumer. Candidates appreciate hearing about the forward thinking of Humana within the Healthcare field
            
            
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            How the work we're doing is changing lives and healthcare.
            
            
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            Humana's integrated care model; our position at the forefront of addressing things like social determinants of health
            
            
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            They love that we are a wellness company and that we encourage associates to exercise and be healthy overall.
            
            
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            Commitment to Technology
            
            
            Growth Opportunities
            
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            • The ability to be an individual contributor or lead people.
              
              Work at Home Requirements
              WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
              A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
              Satellite and Wireless Internet service is NOT allowed for this role.
              A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
              Interview Format
              As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
              If you are selected for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone or text, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
              To support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.
              #ThriveTogether #WorkAtHome #LIRemote
              Scheduled Weekly Hours
              40
              Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Keywords: Humana, Springfield , Correspondence Representative 2, Other , Springfield, Missouri