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Part-time Bilingual Customer Service Representative The candidate will handle a variety of tasks related to inquiries from current and potential clients and obtains information to help the Attorney(s) determine which cases ..
Bilingual Customer Service Representative The candidate will handle a variety of tasks related to inquiries from current and potential clients and obtains information to help the Attorney(s) determine which cases will ..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
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 ..
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 ..
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 ..
Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home in Lancaster South Carolina Description Healthcare isn't just about health anymore. It's about caring ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
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 ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs 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 ..
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 Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Lancaster South Carolina Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Lancaster South Carolina Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home / Virginia / Maryland / North Carolina / South Carolina / Florida (Evergreen) in ..
Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home / Texas / Virginia / Maryland / North Carolina / South Carolina / Florida ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Lancaster South Carolina Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..
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 ..
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 ..