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[Remote] Home Health Services Accounts Receivable Specialist

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Humana is a company specializing in health services, and they are seeking a Home Healthcare Accounts Receivable Specialist. The role involves coordinating claim activities, resolving rejected invoices, and supporting agency personnel in claims processing.

Responsibilities

  • Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables
  • Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices
  • Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances
  • Clear payment variances, resolving differences, and initiating corrective action
  • Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing
  • Prepare input data forms to update computer system
  • Review and communicate with agencies to educate them about expectations for clean claims
  • Works directly with patients to ensure timely payment on account balances due

Skills

  • High School Diploma or the equivalent
  • Effective analytical and communication skills
  • Medical claims experience preferred
  • Knowledge of healthcare collection procedures and microcomputer software/hardware preferred

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Medical, dental and vision benefits
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.
  • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 202 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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