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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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... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... best and most appropriate treatment, care or services for members. Decisions ... 1 - 2 years previous..
Job Information Humana Pharmacy Claims Representative in Bridgeport Connecticut Description The ... Connecticut 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,..
