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... will identify opportunities for appropriate claims adjudication based on benefit payment, ... first time accurate adjudication of claims and payments for members and ... 5 or more years of..
... 1PURPOSE AND SCOPE: The Insurance Representative provides general administrative support in ... Review, investigate and resolve outstanding claims in coordination with cross-divisional teams ... environment characteristics described here are..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Indianapolis Indiana ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are ... education and experience Prior pharmacy..
Job Information Humana Claims Review Representative 2 in Fort Wayne Indiana ... Fort Wayne Indiana Description The Claims Review Representative 2 , will be part ... based on strong knowledge..
... in Indiana is seeking Provider Claims Educators (Medicaid) who will be ... conducting root cause analyses of claims data to track and trend ... data to track and trend..
Description The Claims Processing Representative 2 reviews and adjudicates complex ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing..
Description The Claims Review Representative 3 makes appropriate claim decision ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review..
Job Information Humana Pharmacy Claims Specialist, Remote in Indianapolis Indiana ... Indianapolis Indiana Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Medical Claims Processing Representative 2 in Indianapolis Indiana Description ... Indianapolis Indiana Description The Medical Claims Processing Representative 2 reviews and adjudicates complex ... and adjudicates complex..
Description The Claims Review Representative 4 (formerly Team lead), Financial ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review..
