Become a part of our caring community and help us put health first
 

This is a hybrid position; 1 day in office/4 days remote. Must live within the greater Kansas City metropolitan area.

Responsible for healthcare claims accounts receivable operations in accordance with Company policies and procedures. Meets or exceeds established cash collections and Day Sales Outstanding (DSO) goals. Works directly with program, branch, area, regional and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a managerial role including staff selection, development, corrective action, succession planning and team building. Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary expectations.

Directs accounts receivable activities to maximize reimbursements. Ensures accurate, timely billing and collection. Develops credit/collection strategies and implements plans to ensure accounts receivable balances are within stated objectives

Ensures appropriate staff development, training and succession planning. Evaluates staff performance, and responsible for department hiring, terminations, promotions and salary actions

Serves as Company liaison to state, federal and third-party payers

Participates in company leadership meetings at the branch, area, regional and divisional level and ensures proactive and effective communications with field management

Provides company leadership with updates on accounts receivables. Assists in developing branch-specific plan of correction as needed

Continually assesses operational efficiencies and implements continuous improvement processes. Works with internal business partners on reimbursement issues and in maintaining SOX compliance

Establishes monthly FSU goals and evaluates performance on cash, DSO and budget metrics. Develops action plans accordingly

Maintains knowledge of current regulations, policies and procedures of state, federal and third-party reimbursement programs and assists staff in interpreting and applying technical and business requirements

Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary constraints. Ensures that sales adjustments and write-offs are properly approved and processed

Interacts with internal business partners to improve processes and procedures to achieve overall Company accounts receivable goals. Review payer contracts for proper billing to achieve accurate revenue recognition

Drives change throughout the organization and makes contributions to the company’s goals and objectives by improving performance of self, team and business

Establishes credibility with customer base, demonstrate interpersonal, collaborative, and relationship-building skills

Demonstrates ability to communicate difficult or sensitive information; and demonstrate the ability to manage new business processes

Manages multiple projects, deadlines and priorities and be able to collaborate and influence across functions and at all levels of the organization

Accountability in self and others, facilitates synergy throughout the organization and is able to execute on agreed upon goals and objectives in a timely manner

Performs other related duties as assigned.

Use your skills to make an impact
 

Requirements:

Bachelor’s Degree in Healthcare administration or the equivalent preferred

A minimum of 7 years healthcare related billing/collection experience preferred

A minimum of 5 years in a management role generally required

Experience with Electronic Medical Record (EMR) systems and Technology related to collections/billing; Homecare Homebase system experience preferred

Exhibits expertise in the use of Microsoft Excel, Word, Outlook

Strong knowledge of accounts receivables procedures and general accounting principles

Excellent organizational and verbal/written communication skills 

Strong skills in time management, critical thinking and innovative problem solving, and be able to identify and develop talent through coaching, mentoring, and training

Approximate percentage of time required to travel: 10%

Additional Information:

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.

Satellite, cellular and microwave connection can be used only if approved by leadership.

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.

Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:

Health benefits effective day 1

Paid time off, holidays, and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities

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.

 

$115,200 - $158,400 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us
 About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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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.