Claims Adjust Jobs in West Jacksonville

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

Description The Data and Reporting Professional 1 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

Description The Senior Installation Administration Professional establishes and manages relationships with internal and external clients. Coordinates end to end process from the point of sale to members loaded in system, ID ..

Job Information Humana Senior Financial Analyst - Remote in Jacksonville Florida Description The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, ..

Description Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers. ..

Job Information Humana Fraud and Waste Investigator-Remote in US in Jacksonville Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..

Job Information Humana MEDICAL CODINGCOORDINATOR 3-Remote/Virtual in US in Jacksonville Florida Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

u003cbu003eCompany:u003c/bu003e u003cbru003eUS0344 IFG Jacksonville, Division of Sysco International Food Group, Inc.u003cbru003eu003cbru003eu003cbu003eZip Code:u003c/bu003eu003cbru003e32209u003cbru003eu003cbru003eu003cbu003eMinimum Level of Education:u003c/bu003eu003cbru003eHigh School or Equivalentu003cbru003eu003cbru003eu003cbu003eEmployment Type:u003c/bu003eu003cbru003eFull Timeu003cbru003eu003cbru003eu003cbu003eTravel Percentage:u003c/bu003e u003cbru003e0u003cbru003eu003cbru003eu003cbu003eJOB SUMMARYu003c/bu003eu003cbru003eu003cbru003eManage clerical duties involved with shipments from order entry ..

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 ..

Job Information Humana Manager, Fraud and Waste-Remote US in Jacksonville Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The Learning Facilitation Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Network Operations Coordinator contributes to the provider experience by managing the accuracy of the provider data within the health plan networks. The Network Operations Coordinator 4 assumes ownership and ..

Job Information Humana Senior Informaticist - Remote or Office in Jacksonville Florida Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..

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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Jacksonville Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Jacksonville Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Jacksonville Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

... pricing sophistication, telematics, digital photo claims and, more recently, device and ... responsible for analyzing and adjudicating claims in accordance with policy provisions ... team or leadership team. A..

Job Information Humana Informaticist - Remote in Jacksonville Florida Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Description The Claims Processing Representative reviews and adjudicates ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative performs..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Jacksonville Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job Information Humana Data Architect - Louisville, KY or Remote in Jacksonville Florida Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Jacksonville Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..