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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 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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... Contacts Representative 3 performs advanced administrative/operational/customer support duties that require independent ... a timely basis to achieve service and quality standards. Decisions are ... inbound call center or related..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Perform advanced administrative and/or..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in San Juan Puerto Rico Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works ..
... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
