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... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
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..
... 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 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..
... 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..
Ridgeland office of a BCG Attorney Search Top Ranked Law Firm seeks products liability attorney with experience. The candidate will have the opportunity to take advantage of a well-developed national platform ..
Job Information Humana Pharmacy Claims Specialist, Remote in Ridgeland Mississippi ... Ridgeland Mississippi Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
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..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Ridgeland Mississippi Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
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..
A law firm in Ridgeland, MS, is seeking a General Liability Associate Attorney with 2-5 years of civil litigation experience, primarily in insurance defense. The successful candidate will handle file review, ..
Job Information Humana Medical Claims Processing Representative 2 in Ridgeland ... Ridgeland Mississippi Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Jackson office of a BCG Attorney Search Top Ranked Law Firm seeks a creditors rights and bankruptcy partner-level attorney with significant experience in representing financial institutions both in commercial bankruptcy and ..
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..
Description The Senior Pharmacy Claims Professional oversees processes and ensures ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ... factors. Responsibilities The..
A law firm located in Ridgeland, MS, is seeking a General Liability Associate Attorney to join their team. The ideal candidate will have exceptional writing, research, and litigation skills, with 2-5 ..
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 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 ..
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 ..
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..
... Information Humana Call Center Pharmacy Claims Technician in Ridgeland Mississippi Description ... Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
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..