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Description In the business world, the ability to identify and forecast financial situations is indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial security by analyzing and reporting on ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Pharmacy Claims Professional 2 is responsible for ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy claims adjudication, including..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Job Information Humana Pharmacy Claims Specialist, Remote in Albany New ... New York Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Insurance Product Management Representative 2 in ... Albany New York Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
Job Information Humana Medical Claims Processing Representative 2 in Albany ... New York Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... seconds) Job Overview Company: TheBest Claims Solutions Pay: $70,000 to $80,000 ... Job Title: Senior General Liability Claims Adjuster Category: Claims Location: Albany, New York Tweets ... by @TheBestIRS..
Description The Pharmacy Claims Professional 2 monitors and ensures ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Overview Job Title: Risk Control Associate Company: Travelers Insurance ..
Contact Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative Occupational Category ... support both policyholder services and claims services for the New York ... for the New York..
... and maintenance of Worker's Compensation claims in adherence with Workers Compensation ... quickly, thoroughly investigate and evaluate claims to determine liability and compensability ... to the New York Compensation..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Albany New York Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description The Claims Review Representative 4 (formerly Team ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 4..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment. The Senior Pharmacy Claims Professional work assignments involve moderately..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..