OneHome
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Billing & Reconciliation Representative
role at
OneHome
Be among the first 25 applicants
This range is provided by OneHome. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $40,000.00/yr - $52,300.00/yr
The Billing & Reconciliation Representative is responsible for identifying and resolving discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role encompasses a range of moderately complex administrative, operational, and customer support tasks, including performing calculations and data analysis. Assignments are generally semi-routine in nature, requiring attention to detail and adherence to established procedures. The Billing & Reconciliation Representative performs monthly account reconciliations, thoroughly documenting any issues identified and developing actionable plans to resolve them. This role is committed to delivering exceptional customer service by keeping all relevant stakeholders informed of account status updates. Responsibilities include correcting discrepancies related to enrollment and cash posting within the billing process and preparing comprehensive documentation to communicate account issues to management, market groups, and regional personnel. Decisions made in this position typically involve interpreting area or departmental policies and selecting appropriate methods for completing assignments. The role operates within established parameters to ensure work expectations and quality standards are met, while allowing for some discretion regarding prioritization and timing. Although standard policies and practices are followed, the position provides opportunities for interpretation and independent judgment.
Required Qualifications
Minimum of 3 years’ experience in the healthcare industry, with a strong understanding of medical terminology.
Proven background in medical billing, specifically as an HME/DME biller, and demonstrated experience in account reconciliation.
Advanced analytical and problem-solving abilities, with a track record of successfully identifying and resolving account discrepancies.
Proficient in Microsoft Excel and familiar with financial or billing software systems.
Highly detail-oriented, with excellent organizational and time-management skills.
Capable of working independently with minimal supervision, while effectively managing multiple priorities.
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations is preferred.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Bilingual (Spanish speaker).
Preferred Qualifications
3 to 5 years of professional experience in a related field.
Foundational knowledge of accounting principles and practices.
Hands-on experience with medical coding, including proficiency in ICD-10.
Billing and coding certification.
Additional Information
Hybrid (3 days in office, 2 from home)
Location: 3325 Executive Way Miramar, FL 33025
Required shift: 8:00 a to 5:00 p
Overtime: 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. $40,000 - $52,300 per year
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
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Billing & Reconciliation Representative
role at
OneHome
Be among the first 25 applicants
This range is provided by OneHome. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $40,000.00/yr - $52,300.00/yr
The Billing & Reconciliation Representative is responsible for identifying and resolving discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role encompasses a range of moderately complex administrative, operational, and customer support tasks, including performing calculations and data analysis. Assignments are generally semi-routine in nature, requiring attention to detail and adherence to established procedures. The Billing & Reconciliation Representative performs monthly account reconciliations, thoroughly documenting any issues identified and developing actionable plans to resolve them. This role is committed to delivering exceptional customer service by keeping all relevant stakeholders informed of account status updates. Responsibilities include correcting discrepancies related to enrollment and cash posting within the billing process and preparing comprehensive documentation to communicate account issues to management, market groups, and regional personnel. Decisions made in this position typically involve interpreting area or departmental policies and selecting appropriate methods for completing assignments. The role operates within established parameters to ensure work expectations and quality standards are met, while allowing for some discretion regarding prioritization and timing. Although standard policies and practices are followed, the position provides opportunities for interpretation and independent judgment.
Required Qualifications
Minimum of 3 years’ experience in the healthcare industry, with a strong understanding of medical terminology.
Proven background in medical billing, specifically as an HME/DME biller, and demonstrated experience in account reconciliation.
Advanced analytical and problem-solving abilities, with a track record of successfully identifying and resolving account discrepancies.
Proficient in Microsoft Excel and familiar with financial or billing software systems.
Highly detail-oriented, with excellent organizational and time-management skills.
Capable of working independently with minimal supervision, while effectively managing multiple priorities.
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations is preferred.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Bilingual (Spanish speaker).
Preferred Qualifications
3 to 5 years of professional experience in a related field.
Foundational knowledge of accounting principles and practices.
Hands-on experience with medical coding, including proficiency in ICD-10.
Billing and coding certification.
Additional Information
Hybrid (3 days in office, 2 from home)
Location: 3325 Executive Way Miramar, FL 33025
Required shift: 8:00 a to 5:00 p
Overtime: 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. $40,000 - $52,300 per year
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
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