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Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Washington District Of Columbia Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which ..
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... District Of Columbia Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
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 ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Addison Group’s client is seeking a Membership Services Coordinator to join their team in Washington, DC! This is a contract-to-hire role. Job Description: Respond to customer inquiries via phone and email ..
