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Job Information Humana Claims Research & Resolution Representative 2 ... Louisville Kentucky Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..
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 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 ..
Description The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in Louisville Kentucky Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents ..
Job Information Humana Subrogation Professional 2-WAH in US in Louisville Kentucky Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..
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 ..
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 ..
... 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..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Louisville Kentucky Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. The Utilization Management Behavioral Health Professional 2 ..
Job Information Humana Consumer Service Operations Representative 2 - Louisville, Ky *Opportunity for Remote* in Louisville Kentucky Description The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ..
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 ..
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 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 Bilingual Consumer Service Operations Representative 2 - Louisville, KY *Opportunity for Remote* in Louisville Kentucky Description The Consumer Service Operations Representative 2 is responsible for the daily activities ..
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 ..
Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Louisville Kentucky Description The Grievances & Appeals Representative 4 manages client medical denials ..
Job Information Humana Medical Claims Processing Representative 2 in Louisville ... Louisville Kentucky Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
Job Information Humana Provider Payment Integrity Professional 2-in office or remote/Louisville, KY in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Louisville Kentucky Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Associate Director, Provider Payment Integrity | Prepay Operations in Louisville Kentucky Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify ..
