Tuesday, March 3Remote Jobs For Everyone

Tag: Humana

Medicare Inbound Contacts Representative (Remote) – Full-Time Opportunity with Humana
Customer Service Representative, Healthcare, Work from Home

Medicare Inbound Contacts Representative (Remote) – Full-Time Opportunity with Humana

Humana is hiring a Medicare Inbound Contacts Representative 2 for a full-time remote position available across 49 locations. The role supports Medicare members by responding to incoming telephone, digital, and written inquiries in a high-volume contact center. Representatives handle complex benefit questions, work to resolve issues or provide a clear pathway to resolution, and document interactions. The role includes escalation of unresolved grievances and requires interpreting departmental policies while meeting defined quality expectations. The environment is fast-paced and may be stressful at times, with 40+ inbound calls daily. Qualifications and Requirements Required Qualifications 2 years of customer service experience Demonstrated experience providing strong customer...
Remote Medical Coding Auditor with Humana
Healthcare, Remote, Work from Home

Remote Medical Coding Auditor with Humana

Role Overview A well-known healthcare company, Humana, is seeking a Medical Coding Auditor to review and validate medical claims for accuracy and compliance with coding guidelines such as ICD-10-CM, CPT, and HCPCS. Working remotely and full time, this professional will verify the alignment of codes with clinical documentation, identify appropriate claim payment procedures, and support the accuracy of provider contract payments. The individual in this position will also conduct peer reviews, respond to internal queries for medical information, and follow established protocols to ensure data integrity. Qualifications and Requirements CPC, COC, CCS, ROCC, RHIA, or RHIT certification with at least 3 years of post-certification experience Minimum of 3 years of recent experience in Out...