Humana - Juneau, AK

posted 3 months ago

Full-time - Entry Level
Remote - Juneau, AK
5,001-10,000 employees
Insurance Carriers and Related Activities

About the position

Become a part of our caring community and help us put health first. The Accounts Receivable/Accounts Payable Processor prepares, records, verifies, analyzes, and reports accounts payable/receivable transactions. This role is crucial in maintaining the financial health of our organization by ensuring that all transactions are accurately processed and reported. The processor will be responsible for maintaining and reconciling accounts, billing statements, and reports, which are essential for the smooth operation of our financial systems. In this position, you will monitor and research claim denials, reporting all payor payment and/or denial trends in a timely fashion. You will also audit and ensure that transaction entry procedures are followed, making decisions that typically focus on the interpretation of area/department policy and methods for completing assignments. Meeting and exceeding performance expectations is a key aspect of this role, as is completing work within the required time frames. You will work within defined parameters to identify work expectations and quality standards, but you will have some latitude over prioritization and timing of your tasks. Collaboration is essential, as you will be working in a team setting environment, following standard policies and practices. This position is located in Juneau, AK, and requires a commitment to working onsite at all times. The ideal candidate will have a strong background in accounts receivable and accounts payable processes, with a focus on accuracy and efficiency in financial reporting.

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 fashion.
  • Audits and ensures that transaction entry procedures are followed.
  • Makes decisions based on interpretation of area/department policy and methods for completing assignments.
  • Meets and exceeds performance expectations and completes work within the required time frames.
  • Works within defined parameters to identify work expectations and quality standards, with some latitude over prioritization/timing.
  • Follows standard policies/practices and works in a team setting environment.

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, 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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