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Description The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works ..
... Appeals Representative 3 manages client medical denials by conducting a comprehensive ... Letter writing experience Previous inbound call center 1-3 years of grievance and ... appeals experience Previous experience..
... years working experience in a Call Center environment. Previous inbound call center or related customer service experience ... vaccination or documentation for a medical or religious exemption consideration where..
... of leadership experience Previous inbound call center or related customer service experience ... vaccination or documentation for a medical or religious exemption consideration where ... Bachelor's Degree Experience in..
Job Information Humana Consumer Experience Lead-Remote in US in San Juan Puerto Rico Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works ..
... Do you love researching, analyzing medical documents to determine if something ... considered yourself a detective for medical claims / member benefits? Well, ... your help with: Managing client..
Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding a ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Description The Subrogation Representative 3 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
... Inbound Contacts Representative 2 / Call Center Representative positions that will have ... The Inbound Contacts Representative / Call Center Representative 2 represents Humana/CarePlus by ... Inbound Contact Representative..
... of leadership experience Previous inbound call center or related customer service experience ... any required supporting documentation Medical, religious, state and remote-only work ... Bachelor's Degree Experience in..
... Management Support Assistant 3/ Inbound Call Center - Remote, Puerto Rico in ... Previous healthcare experience Previous outbound call center experience Knowledge in Medical Terminology (ICD-9, CPT, HCPC's) Computer..
Job Information Humana Compliance (UM) Coordinator 2 in San Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities ..
