Humana is looking for a Home Healthcare Insurance Billing Analyst to support our billing operations with a focus on contract interpretation, validation, and payer setup. You'll work collaboratively across internal departments and with external groups to ensure billing accuracy and regulatory compliance, contributing to a community that puts health first.
What You'll Do
- Interpret and validate contracts, ensuring compliance with all amendments and terms.
- Establish and maintain effective relationships with community groups, professional organizations, and agency staff.
- Create and manage payer configurations, ensuring accuracy and timeliness.
- Analyze and interpret complex contracts to ensure compliance and optimal reimbursement.
- Obtain and verify payer rates from various sources, ensuring data accuracy and integrity.
- Ensure compliance with federal and state regulations related to billing and collections.
- Support clean claims processing procedures and recommend improvements.
- Collaborate with senior management to develop and analyze performance metrics aligned with strategic objectives.
- Oversee and assist with reporting related to billing and collection in coordination with management.
- Provide education and resources to department personnel for continued professional development.
- Recommend new approaches for ongoing improvement of policies, procedures, and documentation.
- Provide management support on special projects as assigned.
- Participate in administrative staff meetings, committees, and special projects.
- Adhere to all organizational policies and procedures.
- Report to work on time and prepared to fulfill all job responsibilities.
- Perform additional duties as assigned to meet departmental needs.
What We're Looking For
- Strong analytical skills and attention to detail.
- Proficiency in data analysis and reporting.
- Excellent verbal and written communication skills.
Nice to Have
- Experience with contract management and payer setup processes.
Benefits & Compensation
- Compensation Range: $48,300 - $65,900 per year.
- Health benefits effective day 1.
- Paid time off, holidays, and jury duty pay.
- Recognition pay.
- 401(k) retirement savings plan with employer match.
- Tuition assistance.
- Scholarships for eligible dependents.
- Caregiver leave.
- Employee charity matching program.
- Network Resource Groups (NRGs).
- Career development opportunities.
Work Mode
This position follows a hybrid work model.
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
