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Bilingual Client Intake Specialist The candidate will serves as the primary point of contact and triages prospective clients to the appropriate resource based on client needs, geographic location and other qualifying ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Washington District Of Columbia Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Medical Interpreter - Spanish/English - PRN','230001D9','!*!Under supervision, The Interpreter/Translator will provide language interpretation and translation services to patients and their families in critical, acute,or chronic medical situations as needed. Will provide ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..
Job Information Humana Subrogation Professional 2-WAH in US in Washington District Of Columbia Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..
Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Washington District Of Columbia Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Washington District Of Columbia Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Washington District Of Columbia Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Job Description Mission: In the Senate Community tradition of service, we strive to improve the financial wellness of our members throughout all stages of life by integrating sustainability and security into ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Washington District Of Columbia Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible ..
