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Description The Risk Adjustment Representative 2 conducts quality assurance audits ... government agencies. The Risk Adjustment Representative 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer support..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents ... written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works on ... - As an Inbound..
... pre-certifications, DME, and Home Health care equipment. The UM Administration Coordinator ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... best and most appropriate treatment,..
... Bilingual / Call Center / Customer Service Rep / Remote / ... / Bilingual / Call Center Customer Service Representative who is interested in being ... to others. The..
Job Information Humana Pharmacy Claims Representative in Glen Allen Virginia Description ... Virginia Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and ... for payment. The Pharmacy Claims Representative..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... best and most appropriate treatment, care or services for members. Decisions ... 1 - 2 years previous..
