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Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..
Description The Consumer Service Operations Lead is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Lead works on problems of diverse scope and complexity ranging ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Birmingham Alabama Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Birmingham Alabama Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
Do you have experience in claims adjudication and enjoy resolving issues ... such as advancing to the Claims Professional role, which offers more ... What the day will look like:Claims..
Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team Leaders & the Pharmacy ... Team Leaders & the Pharmacy Claims..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Birmingham Alabama Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Manager, Fraud and Waste-Remote US in Birmingham Alabama Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Senior Financial Analyst - Remote Nationwide in Birmingham Alabama Description The Senior Financial Analyst for Humana's Direct Contracting Entity, Humana Care Solutions, supports successful value-based provider relationships with ..
Job Information Humana Senior Informaticist - Remote or Office in Birmingham Alabama Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..
Job Information Humana Informaticist - Remote in Birmingham Alabama Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Birmingham Alabama Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Pharmacy Claims Specialist, Remote in Birmingham Alabama ... Birmingham Alabama Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
... Information Humana Call Center Pharmacy Claims Technician, Remote in Birmingham Alabama ... Birmingham Alabama Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... a member of the Property Claims Team, you will play a ... resolve a variety of homeowner claims in a fast paced, detail-oriented, ... exciting challenge, as our Property..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Birmingham Alabama Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Birmingham Alabama Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
... Medical Coding Auditor reviews medical claims submitted against medical records provided, ... systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS ... Medical Coding Auditor reviews medical..
