[Hiring] Correspondence Representative @Humana

Role Description

The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing structures. Ensure contracted rates and reimbursement policies are priced and applied accurately. You will report to the Supervisor, Claims Research & Resolution.

As the Correspondence Representative 2 you will:

• Make reimbursement policy and process recommendations and ensure compliance with government regulations
• Analyze provider reimbursement patterns and trends
• Use your skills to make an impact

Qualifications

• 2 or more years of Customer Service and/or administrative experience (in past 5 years)
• 1 or more years of Healthcare claims experience
• Proficiency with Microsoft Outlook (email communication)
• 1 or more year of technical experience (multiple system platforms and split screens simultaneously)

Requirements

• 1 or more years of Medicare and/or Medicaid experience
• Familiarity with MHK knowledge
• CAS experience
• Familiarity with CRM knowledge
• Experience with provider reimbursement policy analysis and documentation
• Knowledge of regulatory requirements and compliance standards for health insurance
• Microsoft Word (document creation) and Excel (formulas)

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Additional Information

Training:

• This position is scheduled to start on Monday, July 26, 2026.
• This will be a virtual training for 3-4 weeks with a schedule of 8:00 AM – 4:30 PM Eastern Monday - Friday.
• We may extend the Training and Nesting on business needs.
• You must be on time, in a quiet environment, dressed appropriately, with your camera ON during training and for other meetings required by leadership.

Work Schedule Following Training:

• Following training, we require associates to have flexibility to work any 8-hour shift between the hours of 6:00 AM – 6:30 PM Eastern time, Monday - Friday.
• May require some weekends and overtime, based on needs.
• The initial 120 days of employment constitute an appraisal period. This Appraisal Period is necessary to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods.
• The department has a strict attendance policy.
• You will learn many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.

HireVue:

• As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.
• HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home:

• To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 employees 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.

Travel:

• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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