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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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Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents ... written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works on ... - As an Inbound..
... 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 Charlotte North Carolina Description ... Carolina Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and ... for payment. The Pharmacy Claims Representative..
... Bilingual / Call Center / Customer Service Rep / Remote / ... / Bilingual / Call Center Customer Service Representative who is interested in being ... to others. The..
... Provides customized interaction based on customer preference and individualized needs, creating ... with the member. • Anticipates customer needs. Provides the customer with related information to answer ... self-service..
... 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,..
