Patient Services Rep Jobs

... action taken in the member services department is to facilitate access ... emphasis on member advocacy and patient safety. While this associate receives ... action taken in the member..

Description The Patient Care Coordinator represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and ..

Description The Patient Care Coordinator represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and ..

... SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an ... of appropriate tasks to direct patient care staff including but not ... limited to RNs, LVN/LPNs and..

Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities Job ..

Job Information Humana Care Guide - Physical Health in Cincinnati Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..

Job Information Humana Medical Coding Coordinator 3- Remote USA in Cincinnati Ohio Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Description The Inbound Contacts Representative 1 (Patient Care Coordinator) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 (Patient Care Coordinator) performs basic administrative/clerical/operational/customer ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..

... through inpatient, outpatient and research services. The psychiatrist will involve the ... The psychiatrist will involve the patient and his/her family in designing ... reviews and assesses information regarding..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Cincinnati Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

Job Information Humana Manager, Fraud and Waste-Remote US in Cincinnati Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Job Information Humana Clinical Programs Pharmacy Technician 2 WORK AT HOME in Cincinnati Ohio Description The Rx Clinical Programs Pharmacy Technician Representative 2 supports Pharmacists and patients by executing programs developed ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Cincinnati Ohio Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively ..

... Activities including those related to patient satisfaction and actively participates in ... Enhancement Goals (QEP).PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Education:Assist other health care members ... health care members in providing..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Cincinnati Ohio Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Cincinnati Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

... medical practice opportunities. University Health Services (UHS) is recruiting a full ... coordinate care for students receiving services from various on- and off-campus ... triage and mental health support..

Job Information Humana Senior Quality Improvement Professional - EPSDT - Office / Remote KY, IN, OH in Cincinnati Ohio Description The Senior Quality Improvement Professional-EPSDT (Early Periodic Screening Diagnosis and Treatment) ..

... improve EPSDT and maternal health services and rates for Ohio Medicaid ... improve access to pregnancy related services, independently determine an appropriate course ... around EPSDT and maternal health..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Cincinnati Ohio Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Job Information Humana Care Guide/Care Coordinator, Physical Health in Cincinnati Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..