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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Senior Power BI Engineer on the MarketPoint Sales Reporting team solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers via ..
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 ..
... The Claims Research & Resolution Representative 2 manages claims operations that ... manages claims operations that involve customer contact, investigation, and settlement of ... The Claims Research & Resolution..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... GED Minimum 1 year of customer/client support experience Administrative or technical ... required. Satellite and Wireless Internet..
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..
... Responsibilities The Grievances & Appeals Representative 4 assists members, via phone ... skills required 1-3 years of customer service experience Strong proficiency with Microsoft ... inbound call center or..
Description The Inbound Contacts Representative 1 represents the company by ... written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... 10-hour shifts. The..
Description The Inbound Contacts Representative 4 represents the company by ... written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads ... leads advanced and highly specialized administrative/operational/customer support..
Description The Grievances & Appeals Representative 3 manages client denials and ... parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Responsibilities The..
... have several new Inbound Contact Representative openings that will have the ... Medicaid Members and provide excellent service and support. These roles will ... Healthcare industry!! The Inbound Contacts..
Description The Inbound Contacts Representative 1 is an advocate for ... inquiries. The Advocate performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... looking for an Inbound Contacts Representative 1..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... contracts. Manages provider audits, provider service and relations, credentialing, and contract ... intake and manage provider perceived..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
... Sunday The Grievances & Appeals Representative 4 assists members, further/support quality ... skills required 1-3 years of customer service experience Strong proficiency with Microsoft ... inbound call center or..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
... Medicare Members and provide excellent service and support. These roles will ... and grow!! The Inbound Contacts Representative 2 represents the Humana by ... Medicare Members. These Inbound Contact..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Brentwood Tennessee Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
... our members and providing excellent service and support. These remote roles ... grow. Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing ... Medicare members. These Inbound Contact..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote ... Brentwood Tennessee Description The Enrollment Representative 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer..
