Claims Jobs in Augusta

Law Enforcement Transcription Vendors / independent contractors who can transcribe audio content of criminal investigations, internal affairs, and various law enforcement audios. Contractors must have prior verbatim, multi-speaker transcription experience. The ..

Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Description The HPS Release Management Engineer 2 manages cross-organizational efforts required to introduce applications and infrastructure changes into the production environment. The Release Management Engineer 2 work assignments are varied and ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

Job Information Humana Associate Director, Provider Data Interoperability in Augusta Georgia Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Job Information Humana Provider Reimbursement Professional 2-Remote in US in Augusta Georgia Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..

Description Claims Research & Resolution Representative 2 ... Where you Come In The Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of a group..

Job Information Humana Claims Review Representative 2 in Augusta ... in Augusta Georgia Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

Perform as a practice expert at the department on all issues relating to billing and intake processes Supervise the billing/intake department operations. Perform duties such as charge entry, payment posting, reimbursement ..

Description Responsibilities This role may be completely remote from anywhere in the US, or onsite/hybrid from Louisville, KY. The Associate Actuary, Valuation is responsible for estimates of reserves required for unpaid ..

Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledgeable SMEs. The Informaticist work assignments are varied and ..

Paralegal The candidate will provide direct pre-trial and trial support for litigated matters of varying complexity. Will assists in the preparation, review, filing, and service of pleadings, motions, discovery, and subpoenas. ..

... requirements. Identify criteria needed for Claims Processing configurations rules to ensure ... Processing configurations rules to ensure Claims system is consistent with CarePlus ... system is consistent with CarePlus..

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Augusta Georgia Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Description The Claims Educator is responsible for ensuring ... ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of ... resubmissions, and overall adjudication of..

Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

... requirements. Identify criteria needed for Claims Processing configurations rules to ensure ... Processing configurations rules to ensure Claims system is consistent with CarePlus ... system is consistent with CarePlus..

Job Information Humana Provider Data Management & Contract Load Professional in Augusta Georgia Description Provider Data Management & Contract Load Professional 2 is responsible for administering the installation of assigned provider ..