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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 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 ..
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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..
... pricing sophistication, telematics, digital photo claims and, more recently, device and ... steps and embrace change. Our claims organization is an industry leader ... a Virtual and Field Property..
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 Claims Specialist, Remote in Springfield Missouri ... Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Springfield Missouri Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
... Learning Facilitation Specialist of the Insurance Learning Development (ILD) CoE is ... for North America Third Party Claims new hires. The role will ... will work with the Claim..
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 ..
... Explores, recommends, and coordinates the insurance and potential financial assistance options ... region to educate and coordinate insurance options: Educates on the availability ... on the availability of alternative..
Description The Senior Pharmacy Claims Professional oversees processes and ensures ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ... factors. Responsibilities The..
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 ..
... established, stable, and successful multi-line insurance corporation that has provided financial ... short and long-term disability, life insurance, flexible spending accounts, matching 401(k), ... and supportive work environment. Our..
Job Information Humana Insurance Product Management Representative 2 in ... in Springfield Missouri Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
... Claim Representative Trainee Company: Travelers Insurance Category: Claims Location: Saint Louis, Missouri Tweets ... investigating, evaluating, negotiating and resolving claims on losses of lesser value ... assignments: Handles 1st..
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 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 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 Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
... established, stable, and successful multi-line insurance corporation that has provided financial ... short and long-term disability, life insurance, flexible spending accounts, matching 401(k), ... both the subrogation team and/or..
Job Information Humana Medical Claims Processing Representative 2 in Springfield ... Springfield Missouri Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Job Information Humana Claims Review Representative 2 in Kansas ... Kansas City Missouri Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..