Correspondence Representative

Become a part of our caring community As the Correspondence Representative 2 will work in a back-office, non-phone, production-based environment reviewing and researching provider correspondence and disputes. You will root cause issues by reviewing case details, claims information, documentation, and established processes. Become a part of our caring community As the Correspondence Representative 2 will work in a back-office, non-phone, production-based environment reviewing and researching provider correspondence and disputes. You will root cause issues by reviewing case details, claims information, documentation, and established processes. You will research provider concerns, determining the appropriate next steps for resolution, document case activity, and generating required system-based correspondence. We are looking for associates to balance productivity expectations with accuracy, quality, and case resolution. As the Correspondence Representative 2 you will Research and resolve provider correspondence and disputes by reviewing claims, case documentation, and available system information. Perform detailed research and root-cause analysis while following established processes and documenting case activity. Generate and send required system-based correspondence and route requests to internal departments when you need additional information or review. Manage assigned inventory while maintaining productivity, accuracy, quality, and required turnaround times, with opportunities to cross-train Required Qualifications 1 or more years of Healthcare claims experience 2 or more years of Customer Service and/or administrative experience (in past 5 years) 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) Additional Information Scheduled to start on Monday, October 19th, 2026. Virtual training- 3-4 weeks with a schedule of 8:00 AM – 4:30 PM EST (Eastern Standard Time) Monday - Friday. We may extend the training and weeks 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 For 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 EST time, Monday - Friday. May require some weekends and overtime, based on needs. Appraisal Period (First 120 Days): Dedicated to learning and development; therefore, perfect attendance is expected during classroom training and the nesting period. Time Off During Initial Training: No time off is permitted during the first six (6) weeks due to the intensity and sequencing of required training. Perfect attendance is strongly encouraged Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com. 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. #J-18808-Ljbffr Humana