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Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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Job Information Humana Pharmacy Claims Representative in Brentwood Tennessee Description The ... Tennessee Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and ... for payment. The Pharmacy Claims Representative..
... pre-certifications, DME, and Home Health care equipment. The UM Administration Coordinator ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... best and most appropriate treatment,..