Insurance Claims Adjuster Jobs in Fayetteville

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 ..

... product, auto, and general liability claims made against the company. Specific ... payment and resolution of all claims that are deemed compensable; management ... notification and recovery of those..

Job Details: Position is responsible to perform moderately complex work assignments including operations of specialized software systems. This position is responsible for performing a variety of administrative duties including answering a ..

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 ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

SUMMARY: Position is responsible to perform moderately complex work assignments including operations of specialized software systems. This position is responsible for performing a variety of administrative duties including answering a multiple ..

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 ..

Job Information Humana Claims Review Representative 2 in Bentonville ... in Bentonville Arkansas Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

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 ..

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..

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..

Job Information Humana Medical Claims Processing Representative 2 in Rogers ... Rogers Arkansas Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..

Job Information Humana Pharmacy Claims Specialist, Remote in Rogers Arkansas ... Rogers Arkansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..

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 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 ..

Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Rogers Arkansas Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..

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 Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..

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 ..

... ability to work independently. The Adjuster of Claims is responsible for the investigation ... or denial of workers compensation claims; timely and correctly administer appropriate ... managers; evaluate potential..

Job Information Humana Insurance Product Management Representative 2 in ... in Rogers Arkansas Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..

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 ..