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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 ..
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... illness and trauma at the time of their call. Responsibilities Work ... illness and trauma at the time of their call. Education, Experience, ... ability to learn systems real..
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 Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Newport Rhode Island Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses ..
... Rep 2 - English OR Bilingual English and Spanish in Newport ... illness and trauma at the time of their call. Required Qualifications ... ability to learn systems real..
Description The Bilingual Production Professional 2 produces of ... external and internal audiences. The Bilingual Production Professional 2 work assignments ... courses of action. Responsibilities The Bilingual Production Professional works..
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 The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
ACT Substance Use Clinician (Full Time) Location: Woonsocket, RI Clinician needed on our Assertive Community Treatment Team to help those individuals who are struggling with serious and persistent mental illness and ..
Description Humana is continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent ..
Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..
... that reside within the Eastern Time zone. These are amazing opportunities ... call experience. These positions are full-time (40 hours/week) Monday - Friday ... STELLAR 401K MATCH - PAID..
ACT Case Manager (Full Time) Location: Woonsocket, RI Our Assertive ... and rehabilitation. This is a full time position with benefits. Education/Licensing Requirements: ... Health Record systems is preferred. Bilingual..
... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Newport ... Newport Rhode Island Description The Bilingual Claims Research and Resolution Representative ... Competitive 401k match Generous Paid..
Description The Specialty Retention Executive - Employer Group 2-99 is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive - Employer ..
Description The Bilingual Claims Research and Resolution Representative ... Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent ... Where you Come In The Bilingual Claims Research &..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
Substance Use Clinician - ACT (Full Time) Location: Woonsocket, RI Clinician needed on our Assertive Community Treatment Team to help those individuals who are struggling with serious and persistent mental illness ..
Description The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare Members. The Inbound Contact Representative 2 strives to provide resolution or path way ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..