Work from Home Jobs Louisville Ky

By | July 18, 2022

Job Responsibilities : Health Information Management Professional 2

Salary : 64000 per Year

Company : Humana

Location : Remote US


The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Health Information Management Professional 2 develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. 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.

Required Qualifications
  • 2+ years of Medical claims experience (auditing processing loading etc…)
  • Experience with documentation of processes for organizational use
  • Experience with analyzing and visualizing large data sets and presenting information to leaders
  • Strong analysis critical thinking and analytical problem solving skills
  • Ability to manage multiple tasks and deadlines with attention to detail
  • Excellent written and verbal communication skills
  • Comprehensive knowledge of all Microsoft Office applications including Word PowerPoint Outlook and Excel
Preferred Qualifications
  • Bachelor’s degree or a related field
  • 1+ years of X-12 data knowledge
  • Working knowledge of SQL writing and creating queries (ORACLE Microsoft SQL Server Netezza)
  • Prior experience in a fast paced insurance or health care setting
Additional Information
This position will be hybrid (working remote and Humana Tower in Louisville KY)
Work-At-Home Requirements
  • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
  • A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
  • Satellite and Wireless Internet service is NOT allowed for this role.
  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Scheduled Weekly Hours


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