Correspondence Representative

🔥 0 minutes ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Review and research provider correspondence and disputes in a back-office, non-phone, production-based environment • Root-cause issues by reviewing case details, claims information, documentation, and established processes • Research provider concerns and determine appropriate next steps for resolution • Document case activity • Generate and send required system-based correspondence • Route requests to internal departments when additional information or review is needed • Manage assigned inventory while maintaining productivity, accuracy, quality, and turnaround times • Participate in cross-training opportunities • Complete 3–4 weeks of virtual training from 8:00 AM to 4:30 PM EST, Monday–Friday • Work any 8-hour shift between 6:00 AM and 6:30 PM EST after training, with possible weekends and overtime based on business needs

🎯 Requirements

• 1 or more years of healthcare claims experience • 2 or more years of customer service and/or administrative experience in the past 5 years • Proficiency with Microsoft Outlook for email communication • 1 or more year of technical experience using multiple system platforms and split screens simultaneously • 1 or more years of Medicare and/or Medicaid experience preferred • Familiarity with MHK knowledge preferred • CAS experience preferred • Familiarity with CRM knowledge preferred • Experience with provider reimbursement policy analysis and documentation preferred • Knowledge of regulatory requirements and compliance standards for health insurance preferred • Microsoft Word and Excel, including formulas, preferred • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Ability to work Eastern Standard Time schedules • Must meet attendance and camera-on requirements during virtual training and required meetings

🏖️ Benefits

• Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness and healthcare decision support • Occasional travel to Humana offices for training or meetings