Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Altamonte Springs, FL
View more jobs in Florida

Job Details

Medical Claims Rep 2 - Remote FL

Company name
Humana Inc.

Location
Altamonte Springs, FL, United States

Employment Type
Full-Time

Industry
Pharmaceutical, Sales

Posted on
Jul 07, 2022

Apply for this job






Profile

Description

The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Claims Processing Representative 2 determines whether to return, deny, or pay claims following organizational policies and procedures. 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

Minimum of 1 year Medical Claims Processing and/or Medical Coding/Billing

Provider Customer Service experience

Proficiency in all Microsoft Office -Basic understanding using Word, Excel, and Outlook

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Associates Degree

Quality background

Medical Coding Certification

Additional Information

Hours: Monday - Friday 8:00 AM to 5:00 PM

Work Style/Location: Remote FL - applicants must reside in the State of FL to be considered

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

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

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

What I liked about the service is that it had such a comprehensive collection of jobs! I was using a number of sites previously and this took up so much time, but in joining EmploymentCrossing, I was able to stop going from site to site and was able to find everything I needed on EmploymentCrossing.
John Elstner - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
SellingCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
SellingCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 SellingCrossing - All rights reserved. 169 192