Correspondence Representative

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.

• 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.

• 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)

• 1+ years of claims experience
• 1+ years of Medicare and/or Medicaid experience
• MHK knowledge
• CRM knowledge
• CAS experience

• This position is scheduled to start on Monday, April 20th, 2026
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• This will be a virtual training for 3-4 weeks with a schedule of 8:00 AM – 4:30 PM Eastern Monday - Friday
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• 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.

• 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.

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.

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.

As part of our hiring process for this…