Reimbursement UM Administration Coordinator - VSP

Profile

Description

The HCPR Reimbursement UM Administration Coordinator 1 processes pharmacy claims for payment & performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The HCPR Reimbursement UM Administration Coordinator 1 determines whether to return, deny, or pay claims following organizational policies and procedures. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. The role will also involve outreach to member or pharmacy in conjunction with Claim Processing duties. Expectations are production based where associates success is gauged on efficiency, accuracy, and idle percentage monthly.

Responsibilities include lots of data entry. Will work a set rotating schedule requiring every other Saturday. On the week of your scheduled Saturday, you will work Tuesday-Saturday. Mandatory overtime is required during our peak season. There will also be mandatory/voluntary overtime based on business needs outside of the peak season throughout the year and can start as early as 7am EST. Weekday schedule is 9-5:30pm EST. Saturday schedule is 7am-3:30pm EST.

This is a VSP role meaning being considered temporary employment with the possibility of permanent placement throughout the organization.

Required Qualifications

1-3 years of experience within the Healthcare and/or insurance industry

Role requires a repeating, rotating schedule of Monday-Friday and Tuesday-Saturday with weekday hours being 9:00 AM-5:30 PM EST and Saturday being 7:00 AM-3:30 PM EST. Pre-Shift overtime is possible with starting time of 7:00 AM EST on weekdays.

Strong computer navigation and Data Entry skills

Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role), recommended speed is 10Mx1M

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

High School Diploma or equivalent.

Medical or pharmacy benefit claim processing experience is ideal.

Customer service telephone experience

Intermediate Microsoft application skills

Previous employment with work at home background

Additional Information

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com