Humana Billing & Enrollment Specialist in Louisville, Kentucky

Role: Billing & Enrollment Specialist

Assignment: Humana Government Business

Location: Forum 1, Louisville, KY

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.

Assignment Capsule

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

Role Essentials

  • 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

    Reporting Relationships

    You will report to a Supervisor.

Title: Billing & Enrollment Specialist

Location: KY-Louisville

Requisition ID: 177594