Role: Billing & Enrollment Specialist
Assignment: Humana Government Business
Location: San Antonio, TX
We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our members, employers, providers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.
To process, maintain and reconcile eligibility and enrollment information to insure complete, accurate and timely enrollment and/or posting/reconciling payments of HMHS beneficiaries. Process, maintain, required data in multiple mainframe systems and PC based systems using multiple procedures and processes in order to comply with stringent government guidelines and timeframes.
Maintain tracking information and/or process system generated reports for enrollment and/or payment receipts including balancing, reconciling and resolving any data discrepancies or issues.
Prepare and/or process enrollment applications and change forms from paper, electronic data, image or phone contact in accordance with established procedures using multiple systems.
Process accounts receivables information with appropriate follow-up discrepancies, refunds, NSF, etc
Generate appropriate letters and documentation for written and verbal follow-up with internal and external customers including maintaining and processing files for follow up on pending applications.
Respond to written and telephonic inquiries to provide information to CBSRs and TSC customer service and assist in resolving issues and problems
H.S. Diploma or GED
Excellent customer relations skills
Excellent data entry and computer skills
Experience with MS Office products
Our Department of Defense Contract requires U.S. citizenship for this position
Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing) Role Desirables
College courses completed
1 year of accounts receivable experience
You will report to a Supervisor.
Title: Billing & Enrollment Specialist
Location: Texas-San Antonio
Requisition ID: 182144
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.