Make Money From Home: Humana is Hiring Work from Home in Most States Now!

Humana is hiring work from home in all 50 states!

Humana is one of the largest health insurance companies in America. Humana has over 20 million members. Humana makes over $64 billion a year! This company is hiring work at home grievance and appeals specialists in the United States.

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Description

The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims / member benefits? Well if you answered yes to any of the above you may be a great fit for Humana’s Grievances & Appeals Representative 3 role.

Responsibilities

What we need your help with:

Manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted.
Perform advanced administrative and/or customer support duties that require independent initiative and judgment.
From time to time apply intermediate mathematical skills and regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques.
Work under limited guidance at the comfort of your home due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

What you get from your great work! : Benefits and Perks of This Opportunity:

Competitive compensation with strong hourly rate and bonus eligibility
The ability to cut your daily commute to less than a minute!! Yes 100% Work at house capability.
Extensive 100% virtual training program for the first 10 weeks setting you up for immediate and future success.
Robust benefits as a full-time employee including health, dental, vision, tuition assistance, 401(k) and more. Effective first day – no waiting period!
Professional development opportunities including career advancement and mobility, virtual learning platforms, networking opportunities through our network resource groups, mentoring programs and more

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What you need for success!

Required Qualifications

2+ years working with customers in a fast-paced, deadline-oriented environment
Prior experience interpreting Member Benefits and Medical Claims
Experience with the ability to prioritize and manage inventory and work flow
Customer focused, analytical and decision making skills
Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home
Flexibility – ability to work overtime including weekends, based on business needs
Department Hours – Shift could fall between business hours of 6:00 am to 6:00 pm EST. Mandatory Overtime may include weekend days and holidays. Hours are subject to change based on business needs
High level of emotional intelligence with a proven ability to influence office culture and engagement in a positive manner
Work at home (WAH) requirements include a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes