Humana Collections Specialist in Springdale, Ohio

Role: Collections Specialist – RightSource Pharmacy Specialty

  • Assignment Capsule * Humana is seeking a Collection specialist that will: provide various financial support activities, including . Processing, posting and reconciliation, data collection and record maintenance. Collaborate cross functionally to identify process opportunities to improve the provider/member experience. Focus and enhance new and existing technologies/processes.

    • Process Check Requests, invoices and credit cards

    • Review Check Request, invoices, Accounts Receivable reports for proper documentation, approval authorization, internal controls and proper tax recording .

    • Analyzes and evaluates existing issues resolution applications and collaborates with all service areas to enhance technologies/processes to increase bill rate and accuracy

    • Perform both routine and complex duties associated with accounts payable processing

    • Work with team and leadership to implement improvement initiatives

    • Displays initiative and thorough research in problem identification and resolution

    • Review audit reports and make recommendations for process improvement

    • Building reports in response to management and business inquiries

    • Demonstrates a basic understanding of project management disciplines.

    Key Competencies

    • Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.

    • Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.

    • Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

    • Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.

    • Problem solving problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, engage others in problem solving without taking over.


    Role Essentials

    • Associates degree in accounting or equivalent required

    • Excellent PC skills including MS Office applications (Word, Excel, PowerPoint) required

    • Demonstrated competency in both oral and written communication with strong facilitation skills.

    • Demonstrated experience analyzing Accounts Receivable accounts

    • Solid understanding of process / work flow concepts

    • Excellent interpersonal and teamwork skills

    • Strong analytical skills

    • Ability to self-direct and motivated

Roles Desirables

  • Previous operational experience

  • Previous Collections processes (soft collections)

  • Research experience preferred

  • Effective Communication Skills – ability to speak at the proper level of detail with audiences and is clear and concise.

    • Reporting Relationships * You will be reporting to the Medical Billing Process Manager.

    Schedule : Full-time – Schedule for this position may require the associate to work one or more days per week until 8:00p.m. Or the associate may choose to work an altered schedule that would include several 8:00 p.m. days.
    Normal schedule would be any time between 8:00 a.m. and 8:00p.m.

    Primary Location : Cincinnati, OH Executive Center

    Work environment Type : Office

Job Finance/Accounting

Title: Collections Specialist

Location: OH-Springdale

Requisition ID: 169158