Job Summary

• Develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.
• Ensures Medicare/Medicaid encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate for Medicare/Medicaid trading partners.
• Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and various paid time off.

Matching Summary

Salary

$86,300 - $118,700 per year; Bonus incentive plan available; Medical, dental, vision, 401(k), time off benefits

Skills & Requirements

Key Requirements

• 3+ years Medicare/Medicaid claims processing or auditing
• 2+ years leadership experience
• Demonstrated problem solving skills
• Ability to develop and present to senior leadership
• Excellent communication skills
• Experience analyzing large data sets
• Manage multiple tasks and deadlines
• Prior insurance or health care setting experience
• Intermediate Excel skills

Work Rights