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Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Description The Claims Research & Resolution Specialist 2 ... & Resolution Specialist 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Description The Senior Claims Research & Resolution Professional manages ... Research & Resolution Professional manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and..
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..
Description The Claims Review Representative 4 (formerly Team ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 4..
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 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 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 Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..
... seeking a Call Center and Claims Representative to meet the needs ... inquiries related to benefits, eligibility, claims, and perform other duties as ... Responsibilities The Call Center and..
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..
Description The Pharmacy Claims Professional 2 monitors and ensures ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy..
Job Information Humana Pharmacy Claims Specialist, Remote in Fargo North ... North Dakota 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 Fargo North ... North Dakota Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in ... evaluation of variable factors. Responsibilities Claims Oversight Senior Process Improvement Professionals ... and accurate processing of TRICARE..
Description The Pharmacy Claims Professional 2 is responsible for the day to day operations of accumulator processing, providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Fargo North Dakota Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
Description Work at iCare, a subsidiary of Humana, and answer your calling to help others by supporting the health, well-being, and healing of our members. iCare is seeking a Call Center ..