Billing & Reconciliation Representative

Become a part of our caring community and help us put health first
 Enclara Healthcare is seeking a VSP experienced Billing Representative to join our Finance Revenue Cycle team. Enclara Healthcare is a leading solution provider, focused on simplifying care delivery in complex patient populations to improve patient experience, quality and cost. Recently partnered with Humana, our business continues to grow at a rapid pace. The Billing Representative will manage the billing process, accurately handle billing issues with Hospice patient accounts, and resolve outstanding balances.

Location: Remote US

Hours: This is a VSP role with no guaranteed amount of hours per week. Typically will be 35-40 hours. The current shift needed will be between 9am and 5PM EST Monday-Friday and Saturday or Sunday 1-2 times per month.

The department operates between 7am and-6:30PM Monday-Friday and your shift could change based on business needs.

The Billing & Reconciliation Representative:

• Reviews and reconciles the monthly census for hospice.
• Assists in the preparation of monthly customer invoices. 
• Addresses various billing issues with hospice accounts. 
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Use your skills to make an impact
 

Required Qualifications

• 1+ years of Finance or Accounting experience
• Strong analytical skills
• Strong attention to detail
• Strong communication skills
• Experienced (beginner-intermediate level) in MS Excel
• Experienced in other MS Office tools such as Outlook, PowerPoint, and Access.
• Ability to effectively manage time and prioritization to meet deadlines.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Bachelor's Degree
• Experience in Hospice or Pharmacy Billing
• Strong background identifying and resolving billing issues, escalating as needed.

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.Application Deadline: 01-22-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.