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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..
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Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..
Job Information Humana Claims Review Representative - Remote Puerto ... keep priorities moving forward. The Claims Review Representative 1 makes appropriate ... based on strong knowledge of claims procedures, contract..
... in San Juan, PR. This Claims Review Representative 3 opportunity is ... based on strong knowledge of claims procedures, contract provisions, and state ... for the review of all..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
... in San Juan, PR. This Claims Review Representative 3 opportunity is ... based on strong knowledge of claims procedures, contract provisions, and state ... in San Juan, PR. This..
Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..
Job Information Humana Claims Review Representative 3 - Remote ... Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract..
Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..
Description The Pharmacy Claims Professional 2 monitors and ensures appropriate ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied ... of action. Responsibilities..
Job Information Humana Bilingual English/Spanish Claims Review Representative - Remote Puerto ... keep priorities moving forward. The Claims Review Representative 1 makes appropriate ... based on strong knowledge of claims..
Description The Medical Coding Coordinator 2 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 ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..
