Insurance Claims Adjuster Jobs in West Virginia

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 Actuary, Valuation is responsible for the calculation of reserves required for unpaid claim liability, including incurred but not reported (IBNR), for a portion of Humana's fully insured medical lines ..

Description The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Senior Data Scientist work assignments involve ..

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 ..

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

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..

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..

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

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

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 Claims Review Representative 2 in Beckley ... Beckley West Virginia Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

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 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 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 ..

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 Claims Review Representative 2 in Morgantown ... Morgantown West Virginia Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

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 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 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..