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Correspondence Representative
Description
**Become a part of our caring community and help us put health first**The Resolution Team - Provider Correspondence team is looking for a fully remote Correspondence Representative. You will perform research, documentation, and interpretation for the provider reimbursement programs. You will update, maintain, and reviews fee scheduling and pricing structures. You will ensure that you price and apply contracted rates and reimbursement policies.
**_As a Correspondence Representative 2 you will:_**
+ Make reimbursement policy and process recommendations and ensure compliance with government regulations.
+ Analyze provider reimbursement patterns and trends.
+ Make decisions that are typically focused on methods and processes for completing administrative tasks/projects.
+ Exercise judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques.
**Use your skills to make an impact**
**Required Qualifications:**
+ 1+ years of technical skills with the ability to work across multiple software systems including Outlook, Teams
+ 2+ years of Customer Service and/or administrative experience
+ Proficiency with Microsoft office applications (Word, Excel, Outlook)
**Preferred Qualifications**
+ 1+ years of claims experience
+ 1+ years of Medicare and/or Medicaid experience
+ MHK knowledge
+ CRM knowledge
+ CAS experience
**Required Work Schedule:**
**_Training:_**
+ This position is scheduled to start on **Monday, April 20th, 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. Time off is not permitted during the first 90 days and is discouraged during the 120-day appraisal period.
+ 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.
**Remote 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.
+ Associates who live and work from Home in the state of Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ **Associates in this role are required to be hard-wired to their internet connection. Wireless, satellite, cellular and microwave connections are not permitted.**
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Additional Information**
**PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) ****
+ This position is scheduled to start on **Monday, April 20th, 2026**
+ This will be a virtual training for 3-4 weeks with a schedule of 8:00 AM - 4:30 PM Eastern Monday - Friday.
+ 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.
_Due to contractual requirements, this position is not permitted to perform work in Puerto Rico. As a result, we are unable to consider candidates who reside in Puerto Rico for this role._
**Interview Process**
As part of our hiring process for this opportunity, we will use technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
**Video Prescreen:** You will receive communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.
**Interview:** We will invite some candidates to interview. If so, the recruiter will reach out to schedule.
**Offers:** A recruiter will contact finalists from the interview to discuss an offer for the job.
**NOTE** : The duration of this process depends on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters. It may take several weeks or less. However, we are working to proceed as quickly as possible and to keep you informed.
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
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
Application Deadline: 03-04-2026
**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.
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**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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
