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Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... is looking for an experienced billing associate that truly..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Legal Assistant The candidate will perform administrative duties, such as scheduling calendar hearings and deadlines, organizing case files, and managing logistics. Maintain pleadings and discovery indexes. Organize exhibits, documents, evidence, briefs, ..
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. Responsibilities ..
Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..
Provider Specialist Duties: Works with Premises Attorneys to process case settlements, including Medicare and health insurance liens, review medical bills and computation of net settlements. Works directly with Finance for check ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. This position is for Enclara Pharmacia, a Humana company. Enclara, ..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Job Information Humana Sr. DevOps Cloud Engineer in Charleston West Virginia Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps ..
Legal Administrative Assistant Duties: Preparing and electronically filing patent applications, amendments, appeals, assignments and other documents related to prosecution. Responsibilities also include docket management; client communication; billing; formatting, proofreading, and editing ..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Charleston West Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
... Professional - Product Owner, Premium Billing Systems in Charleston West Virginia ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
State Income and Franchise - Investment Management Tax Senior Manager - Multistate Duties: The candidate will be maintaining and developing strong client relationships on various tax consulting/compliance engagements in the investment ..
Lien Specialist Duties: Work with Attorneys to process specific liens within case settlements, including Medicare, Medicaid, Federal, ERISA and other as needed. Work directly with Finance for check deposits and payments. ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... Charleston West Virginia Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..