Billing & Reconciliation Representative Remote Nationwide id-5087

Job Opportunity: VSP Billing Representative at Enclara Healthcare

Location: Remote (US-based)

About Enclara Healthcare

Enclara Healthcare is a leading provider of solutions for simplifying care delivery to complex patient populations. Focused on improving patient experience, quality, and cost, Enclara is growing rapidly and recently partnered with Humana. The company aims to enhance consumer experiences and continuously improve care for its patients.

Role Overview

The VSP Billing Representative will be a key player in Enclara Healthcare’s Finance Revenue Cycle team, managing the billing process, handling billing issues, and resolving outstanding balances for Hospice patient accounts. This role requires a detail-oriented professional who can work independently, follow policies, and make critical decisions to meet deadlines. The position typically involves 35-40 hours per week and the shift is between 9 am and 5 pm EST, Monday through Friday, with occasional weekend hours.

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Responsibilities

  • Billing & Reconciliation:
    • Review and reconcile the monthly census for hospice accounts.
    • Assist in preparing monthly customer invoices.
    • Address and resolve various billing issues related to hospice patient accounts.
    • Work within defined parameters to meet work expectations and quality standards while having some discretion over prioritization and timing.
  • Independent Judgment:
    • Work under minimal supervision while adhering to standard policies and practices.
    • Use independent discretion when interpreting and applying policies.

Required Qualifications

  • Experience:
    • At least 1 year of experience in Finance or Accounting.
    • Strong analytical and attention-to-detail skills.
    • Basic (beginner to intermediate) proficiency in MS Excel.
    • Familiarity with other MS Office tools such as Outlook, PowerPoint, and Access.
  • Skills:
    • Strong communication skills, both verbal and written.
    • Excellent time management and prioritization skills to meet deadlines.
    • Passionate about contributing to an organization focused on improving consumer experiences.

Preferred Qualifications

  • Bachelor’s degree.
  • Experience in Hospice or Pharmacy Billing.
  • Strong background in identifying and resolving billing issues and escalating when necessary.

Work-from-Home Requirements

  • Minimum internet speed of 25 Mbps download and 10 Mbps upload.
  • Wired, cable, or DSL connections are recommended; satellite or cellular connections only if approved by leadership.
  • A dedicated workspace free from interruptions, ensuring the protection of member PHI/HIPAA information.

Compensation & Benefits

  • Pay Range: $40,000 – $52,300 per year, based on experience and geographic location.
  • Benefits:
    • Paid time off.
    • 401(k) retirement savings plan.
    • Employee assistance program.
    • Business travel and accident coverage.

Application Deadline: 01-22-2025

About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first for all individuals, whether employees, customers, or communities. Through its insurance services and healthcare offerings, Humana makes it easier for millions to achieve their best health.

Equal Opportunity Employer
Humana is an equal opportunity employer, ensuring no discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status.

If you have the required skills and experience, apply today to make a difference in a rapidly growing healthcare company.

Billing & Reconciliation Representative Remote Nationwide id-5087

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