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... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
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 ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Las Vegas Nevada Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
... minimal supervision, the Workers Compensation Claims Advocate is responsible for providing ... service to injured employees. The Claims Advocate will assist the Claims Adjuster and/or Managed Care Organization with..
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..
Job Information Humana Insurance Product Management Representative 2 in ... Las Vegas Nevada Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
Established law firm is seeking an Insurance Coverage Attorney with 3-7 years experience! Responsibilities Represent clients in a wide range of general liability claims Independently manage a litigation caseload, working cases ..
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 ..
... seconds) Job Overview Company: TheBest Claims Solutions Pay: $32.00 to $38.00 ... Experience Job Title: Workers Compensation Claims Examiner Category: Claims, Workers' Compensation Location: Las Vegas, ... Tweets by..
Job Information Humana Pharmacy Claims Specialist, Remote in Las Vegas ... Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team..
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 ..
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: $65,000 to $75,000 ... Experience Job Title: Workers Compensation Claims Adjuster Category: Claims, Workers' Compensation Location: Las Vegas, ... Tweets by..
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 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 ..
Job Information Humana Claims Review Representative 2 in Las ... Las Vegas Nevada Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
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..