Description
At Author, we dont wait for chances to make a difference, we create them. We launched a healthcare start-up with the backing of a Fortune 52 company to create a new healthcare experience that centers around customers, simplifies and personalizes care, and focuses on whole-person health.
We start by listening to really understand what matters most to seniors in their dynamic lives, evolving with them as their lives change. This new business concept, called Author, exists to unlock seniors potential to live healthy, vibrant lives on their terms.
Author is an initiative designed to improve the experiences and outcomes of Humana members. To achieve this, we have built a team of diverse leaders from across industry giants in tech, marketing, product, medicine, and healthcare as well as successful entrepreneurs who have founded and sold breakthrough companies. Together, we are excited to knock down barriers to health and be a catalyst so that people can live their best lives.
The Billing & Enrollment Professional 2 Author Operations is responsible for the accurate enrollment and billing process for an insurance organization. The Billing & Enrollment Professional 2 Author Operations work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The Billing & Enrollment Professional 2 Author Operations maintains related documents, updates corresponding records, and responsible for enrollment and billing query. May be responsible for or assist in addressing broad, complex enrollment and billing issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
* Work cross functionally between Author by Humana and Core Humana operational & technology teams to monitor and trouble shoot enrollment transactions.
* Maintain Author documents (process, desk level procedures, etc.) based off of Core Billing & Enrollment updates.
Required Qualifications
* Bachelor's degree or equivalent experience
* Up to 5 years of project management or process improvement experience
* Strong data analysis skills
* Excellent communication skills
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
* Master's degree or above
* Healthcare experience
* Six Sigma or PMP certification
* Prior Billing and/or Enrollment experience
Additional Information
Author
Scheduled Weekly Hours
40
Louisville, KY
Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.
In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.
Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.