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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..
... 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..
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 ..
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 ..
... 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..
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 ..
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, ..
... 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..
... 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..
