Correspondence Representative

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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.

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

• 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)

• 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)

• 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.

• 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.

40

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…