Correspondence Representative

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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

Required 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)

Preferred Qualifications

• 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)

Training and Additional Information

• 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 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.

Work at Home Requirements

To ensure home or hybrid home/office employees' ability to work effectively, the self-provided internet service 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.
• 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 telephone equipment appropriate to meet the business requirements.
• 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

$40,000 - $52,300 per year. The pay range may be higher or lower based on geographic location and individual pay will vary based on skills, experience, and education.

Description Of Benefits

Humana offers competitive benefits, including medical, dental and vision, 401(k) retirement savings, paid time off, parental leave, disability, and life insurance.

About Us

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our insurance and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health.

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.