Responsibilities
- Interpret and validate contracts, ensuring compliance with all amendments and terms.
- Establish and maintain effective relationships with community groups, professional organizations, and agency staff associated with contractual agreements.
- Provide management and support on special projects as assigned.
- Adhere to all organizational policies and procedures.
- Assist department leaders in executing various programs and operational procedures.
- Model professional behavior within and outside the organization, maintaining a positive, ethical, and respectful attitude at all times.
- Effectively manage time and prioritize workload in a flexible and efficient manner.
- Participate in administrative staff meetings, committees, and special projects.
- Ensure compliance with federal and state regulations related to billing and collections.
- Consistently promote the organization’s core values in all interactions.
- Support clean claims processing procedures and recommend improvements as needed.
- Provide education and resources to department personnel for continued professional development.
- 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.
- Complete all required annual training and maintain up-to-date knowledge of industry standards.
- Recommend new approaches for ongoing improvement of policies, procedures, and documentation.
- Report to work on time and prepared to fulfill all job responsibilities.
- Communicate regularly with supervisor regarding department issues and workload.
- Perform additional duties as assigned to meet departmental needs.
Requirements
- Strong analytical skills and attention to detail.
- Excellent verbal and written communication skills.
- Proficiency in data analysis and reporting.
Nice to Have
- Experience with contract management and payer setup processes preferred.
Compensation
$48,300 - $65,900 per year
Work Arrangement
Hybrid
Team
Structure: Collaborates with internal departments, professional groups, and external agencies
Additional Information
- Scheduled Weekly Hours: 40
- Travel: Occasional travel to Humana's offices for training or meetings may be required.
- Internet requirement: Minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL connection suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees in California, Illinois, Montana, or South Dakota receive bi-weekly internet expense payment.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to business requirements.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
