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Job Information Humana Claims Research & Resolution Representative 2 ... New Jersey Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..
Description Humana is looking for someone to help continue the successful of a new program providing outright to our Medicare members in New York City. The Medicare Membership Retention Specialist is ..
Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..
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 ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Subrogation Professional 2 iIdentifies, 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 Subrogation Professional 2 Remote/WAH in USA in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible ..
Description The Subrogation Professional II 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 Medical Claims Processing Representative 2 in Jersey ... New Jersey Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Humana Medical Claims Processing Representative 2 in New ... New York Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
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 Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Jersey City New Jersey Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical ..
Job Information Humana Subrogation Professional 2-WAH in US in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..
Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Grievances & Appeals Representative 4 manages client ..
... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..
