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Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
Job Information Humana Social Media Representative 3 - Remote in US in Colorado Springs Colorado Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media ..
Job Information Humana Oncology Market Director in Colorado Springs Colorado Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Colorado Springs Colorado Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
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 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 ..
... OR Provide documentation for a medical or religious exemption consideration. This ... coordinating the intake of necessary medical documents, completing letter templates, and ... Preferred Qualifications Proficient utilizing electronic..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Colorado Springs Colorado Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others? Join our contact center and experience a supportive team environment as ..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
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 Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana Manager, Utilization Management RN - Remote in Colorado Springs Colorado Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
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 ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Manager, Specialty Pharmacy Sales in Colorado Springs Colorado Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route ..
... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..
Job Information Humana Oncology Market Sales Director in Colorado Springs Colorado Description The Oncology Market Sales Director leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..
Job Information Humana Utilization Management Registered Nurse - Remote in Colorado Springs Colorado Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
