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Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..
Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..
Description Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. These Inbound Contact Representative 2 strives to provide the member a ..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
... Information Humana Go365 Inbound Contacts Representative 2 in Portland Maine Description ... Maine Description The Inbound Contacts Representative 2 represents the company by ... written inquiries. The Inbound Contacts..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Sales Support Representative 1 TEMP Position (REMOTE) in Portland Maine Description Are you passionate about the Medicare population, looking for an opportunity to be part of the healthcare ..
Job Information Humana Medical Claims Processing Representative 2 in Portland Maine Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is ..
Job Information Humana Sales Support Representative 1 VSP (REMOTE) in Portland Maine Description Are you passionate about the Medicare population, looking for an opportunity to be part of the healthcare industry? ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description The Inbound Contacts Representative represents the company by addressing ... written inquiries. The Inbound Contacts Representative performs varied activities and moderately ... assignments. Responsibilities The Inbound Contacts Representative 2..
Job Information Humana Talent Acquisition Representative in Portland Maine Description The Talent Acquisition Representative assists with executive and professional interview scheduling, booking travel, and ensuring an overall positive candidate experience. This ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and ..
Job Information Humana Inbound Contacts Rep Remote Nationwide in Portland Maine Description Humana's LI NET (Limited Income Newly Eligible Transition) is a Medicare program that provides immediate prescription coverage for Medicare ..
Description The Medical Records Retrieval Representative works with regional providers in Maine and New England to utilize EMR access and other retrieval methods to retrieve member medical records that will be ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
