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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..
... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... of action. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy..
... 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..
Job Information Humana Medical Claims Processing Representative 2 in Louisville ... Louisville Kentucky Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Description The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy claims adjudication, including method of payment, ... established guidelines/procedures. Responsibilities The Pharmacy Claims Professional 2..
Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. Facilitation of discussions with CMS representatives and ..
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 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 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 ..
... pricing sophistication, telematics, digital photo claims and, more recently, device and ... of a Field Auto Technical Adjuster: Communicate empathetically with customers and ... in multiple workstreams (Quick Foto..
... New Hire Bonus Company: Travelers Insurance Category: Claims Location: Louisville, Kentucky Tweets by ... handling of first party property claims including: investigating, evaluating, estimating and ... resolution for personal..
... will identify opportunities for appropriate claims adjudication based on benefit payment, ... first time accurate adjudication of claims and payments for members and ... 5 or more years of..
Job Information Humana Pharmacy Claims Specialist, Remote in Louisville Kentucky ... Louisville Kentucky Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Utilization Management Claims Coordinator - Remote KY in Louisville Kentucky Description The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The ..
Description The Senior Pharmacy Claims Professional in the Pharmacy Claim ... & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment. The..
... team conducts reviews on pharmacy claims to assess for recoveries. The ... of action. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy..
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 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 ..
Job Information Humana Insurance Product Manager Representative 2 in ... in Louisville Kentucky Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
... and adjudicates complex or specialty claims, submitted either via paper or ... to return, deny, or pay claims following organizational policies and procedures. ... experience within the Healthcare and/or..
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..
