[Remote] Home Healthcare Insurance Billing Analyst

Note: The job is a remote job and is open to candidates in USA. Humana is a leading healthcare company that focuses on providing comprehensive home care services. The Billing Analyst role involves supporting billing operations, ensuring contract compliance, and collaborating with various departments to maintain billing accuracy and regulatory adherence.

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
• Create and manage payer configurations, ensuring accuracy and timeliness
• Analyze and interpret complex contracts to ensure compliance and optimal reimbursement
• Validate contract accuracy, including amendments and adherence to agreed terms
• Obtain and verify payer rates from various sources, ensuring data accuracy and integrity

Skills

• Strong analytical skills and attention to detail
• Proficiency in data analysis and reporting
• Excellent verbal and written communication skills
• Experience with contract management and payer setup processes preferred

Benefits

• Health benefits effective day 1
• Paid time off, holidays, and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities
• Medical, dental and vision benefits
• 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

Company Overview

Company H1B Sponsorship