Humana · 1 day ago
Billing & Reconciliation Representative
Miramar, FL
Full-time
Hybrid
Mid Level
$40K/yr - $52K/yr
3+ years expHumana is committed to putting health first, and they are seeking a Billing & Reconciliation Representative to identify and resolve discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role involves performing account reconciliations, delivering exceptional customer service, and ensuring compliance with established procedures.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Identifying and resolving discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services
Performing monthly account reconciliations, thoroughly documenting any issues identified and developing actionable plans to resolve them
Delivering exceptional customer service by keeping all relevant stakeholders informed of account status updates
Correcting discrepancies related to enrollment and cash posting within the billing process
Preparing comprehensive documentation to communicate account issues to management, market groups, and regional personnel
Interpreting area or departmental policies and selecting appropriate methods for completing assignments
Ensuring work expectations and quality standards are met while allowing for some discretion regarding prioritization and timing
Qualification
Required
Minimum of 3 years' experience in the healthcare industry, with a strong understanding of medical terminology
Proven background in medical billing, specifically as an HME/DME biller, and demonstrated experience in account reconciliation
Advanced analytical and problem-solving abilities, with a track record of successfully identifying and resolving account discrepancies
Proficient in Microsoft Excel and familiar with financial or billing software systems
Highly detail-oriented, with excellent organizational and time-management skills
Capable of working independently with minimal supervision, while effectively managing multiple priorities
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations is preferred
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Bilingual (Spanish speaker)
Preferred
3 to 5 years of professional experience in a related field
Foundational knowledge of accounting principles and practices
Hands-on experience with medical coding, including proficiency in ICD-10
Billing and coding certification
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
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
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-07
2026-01-06
2026-01-04
Company data provided by crunchbase