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Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..
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... which may include interpretation of provider information or data. Will perform ... EFR Audit Tool Partners with professional staff on pre-screening review by ... which may include interpretation of..
Job Information Humana Bilingual English/Spanish Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ..
... which may include interpretation of provider information or data. Will perform ... which may include interpretation of provider information or data. Will perform ... EFR Audit Tool Partners with..
Description The Senior Provider Engagement Professional develops and grows positive, long-term ... the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex ... variable factors. Responsibilities The..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..
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 ..
Job Information Humana Associate Director, Provider Payment Integrity | Prepay Operations ... by increasing the accuracy of provider contract payments in our payer ... multiple managers or highly specialized professional..
Job Information Humana Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ability to ..
