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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 Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Tulsa Oklahoma Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Tulsa Oklahoma Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
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 Subrogation Professional 2 Remote/WAH in USA in Tulsa Oklahoma Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Tulsa Oklahoma Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements ..
... 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 Manager, Specialty Pharmacy Sales in Tulsa Oklahoma Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..
Job Information Humana Subrogation Professional 2-WAH in US in Tulsa Oklahoma Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..
Job Information Humana Social Media Representative 3 - Remote in US in Tulsa Oklahoma Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..
Job Information Humana Oncology Market Director in Tulsa Oklahoma Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... 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..
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 ..
Job Information Humana Medical Claims Processing Representative 2 in ... in Tulsa Oklahoma Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..
Job Information Humana Manager, Utilization Management RN - Remote in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Tulsa Oklahoma Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
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 Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..
Job Information Humana Utilization Management Registered Nurse - Remote in Tulsa Oklahoma Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
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. ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Tulsa Oklahoma Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..
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 ..