Medical Billing Representative Jobs

Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At CenterWell, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Responsibilities

Must be Bilingual in English and Spanish

We are in search of a bilingual, outgoing, and energetic representative to provide excellent support to our customers. This role is a dedicated resource within the Medical Billing Department to assist with answering customer inquiries, concerns, and disputes regarding their accounts.

Essential Functions: (include but are not limited to)

• Addresses customer needs which may include complex benefit questions, resolving issues, and educating members.
• Corrects enrollment and cash posting discrepancies as they relate to billing.
• Process orders, forms, applications, and requests.
• Must interact with patients in a respectful and amicable manner. Employees are expected to treat patients with compassion and protect their rights.
• Communicate and coordinate with internal departments.
• Investigate and resolve customer complaints regarding account inquiries for billing and collection questions.
• Successfully support the daily operations of inbound and outbound member call center teams.
• Review and update customer records on computerized data base.
• Escalates unresolved and pending customer grievances.
• Provides first contact and resolution to external as well as internal inquiries received by phone or electronically.
• Records details of inquiries, comments, complaints, and actions taken.

Required Qualifications

• Minimum 2 years of work-related experience with customer service in the healthcare industry.
• Bilingual (English / Spanish)
• Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills including ability to learn new computer programs/EMR’s.
• Effective verbal and listening communication skills.
• Demonstrates high level of problem-solving skills and ability to follow through on tasks assigned.
• Strong attention to detail
• Strong customer service orientation
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously.
• Proficiency in all Microsoft Office Programs including Word, PowerPoint, and Excel

Preferred Qualifications

• 1 or more years’ experience with out of service area knowledge and applications
• 1 or more years of experience with e-Clinical Works
• Experience with insurance verifications, medical billing and insurance knowledge.

Alert

CenterWell, a subsidiary of Humana, values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Benefits

Being a part of the CenterWell team gives you: We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Additional Information:

Associates are required to be fully COVID vaccinated, including booster, or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.

If progressed to offer, candidates will be required to:

• Provide proof of full vaccination, including booster OR
• Provide proof of applicable exemption including any required supporting documentation

Medical, religious, and state exemptions will be available.

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Scheduled Weekly Hours

40