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Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... on semi-routine assignments. Responsibilities The Billing & Reconciliation Representative..
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 The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Salem Oregon Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Associate Director, Business Intelligence for Membership and Plan Services will support the account services, enrollment, billing and reconciliation operational teams. The support includes identify unique insights and solving complex ..
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 ..
Job Information Humana Sr. DevOps Cloud Engineer in Salem Oregon Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..
Description The Risk Management Professional 2 is responsible for analyzing enrollment and billing data to minimize compliance risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Salem Oregon Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Legal Assistant Duties: Offering administrative support across the organization. Welcome guests and greet people who visit the business, which currently is primarily over the phone. Coordinate front-desk activities, including distributing correspondence ..
Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..
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 ..
... Professional - Product Owner, Premium Billing Systems in Salem Oregon Description ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financial and quality performance within the ..
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 ..
Paralegal/Legal Assistant The candidate will do initiation of a case to the discovery period through trial/settlement and post-trial/settlement with document drafting and assembly and client interaction to ensure a smoothly run ..
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 ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
Description The Sales Support Professional 2 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The Sales Support Professional 2 work assignments are varied ..
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 ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Salem Oregon Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
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