Patient Services Rep Jobs in Portland

... 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..

... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting ... to meet those needs Coordinating services, and monitoring and evaluating the .....

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Portland Maine Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Portland Maine 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 Portland Maine Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Portland Maine Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..

Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Portland Maine Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..

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

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

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

... direction and supervision to assigneddirect patient care staff. Communicates with the ... to interpret, adjust, and complete patient care plans. Provides safe, effective ... Provides safe, effective delivery of..

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

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

Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Portland Maine Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer experience ..

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

Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT in Portland Maine Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses on clinical and performance ..

... and case management for each patient, provide necessary follow-up as directed ... on physician's orders and initial patient assessment. Provide hands-on care, management ... plan and teaching of the..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

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

Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH in Portland Maine Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses on ..

... Care, you will provide psychosocial services for our dialysis clinic patients. ... chronic kidney disease on the patient and family. How you grow ... as part of the comprehensive..

... area.PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the ... Chronic Kidney Disease on the patient and family to ensure comprehensive ... Activities, including those related to..

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