Humana - Raleigh, NC

posted 4 months ago

Full-time - Entry Level
Remote - Raleigh, NC
Insurance Carriers and Related Activities

About the position

The Accounts Receivable/Accounts Payable Processor plays a crucial role in managing financial transactions by preparing, recording, verifying, analyzing, and reporting accounts payable and receivable activities. This position is essential for maintaining accurate financial records and ensuring compliance with relevant policies and regulations.

Responsibilities

  • Maintains and reconciles accounts, billing statements, and reports.
  • Monitors and researches claim denials and reports all payor payment and/or denial trends in a timely manner.
  • Audits and ensures that transaction entry procedures are followed.
  • Interprets area/department policy and methods for completing assignments.
  • Meets and exceeds performance expectations and completes work within required time frames.
  • Identifies work expectations and quality standards while prioritizing tasks.

Requirements

  • Minimum of three years related experience as Claims Processor, Insurance Billing, and/or Collections.
  • Knowledge of submission and processing of medical claims (HCFA 1500 forms).
  • Knowledge of government and commercial policies and procedures.
  • Knowledge of HIPAA compliance rules and regulations.
  • Experience in MS Office tools such as Outlook, PowerPoint, Excel, and Access.

Nice-to-haves

  • Skill in the operation of billing software and all office equipment.
  • Strong attention to detail.
  • Payer denial problem-solving skills.
  • Skill in using Microsoft Office (Outlook, Excel, Word, etc.).

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time, and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
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