95 applicants

Company

Humana · 2 hours ago

Healthcare Claims Denials Specialist

Remote Kansas

Full-time

Remote

Entry Level

$37K/yr - $51K/yr

2+ years exp

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H1B Sponsor Likely

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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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical claims processingHealthcare collection proceduresMicrocomputer softwareMicrocomputer hardware

Required

High School Diploma or the equivalent

Effective analytical and communication skills

Preferred

Minimum of two years medical claims processing experience preferred

Knowledge of healthcare collection procedures and microcomputer software/hardware preferred

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

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

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10,001+ employees

http://www.humana.com

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

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Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)