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Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
... Medicaid Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Perform advanced administrative and/or..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... Inbound Contacts Representative 4 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... Bilingual / Call Center / Customer Service Rep / Remote / Work ... / Bilingual / Call Center Customer Service Representative who is interested in ... team that focuses..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Glen Allen Virginia Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, ..
Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensures that information is ..
... have several new Inbound Contact Representatives openings that will have the ... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses..
... Medicaid Members and provide excellent service and support. These roles will ... Information) Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
... our members and provide excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... manages claims operations that involve customer contact, investigation, and settlement of ... complex administrative / operational / customer support assignments. Performs computations. Typically ... of call center or related..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and ..
... inquiries. The Advocate performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... digital, or written inquiries Addressing customer needs which may include complex ... it. Advancing unresolved and pending..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Enclara is the nation's largest full-service pharmacy benefits manager (PBM) specifically ... one-on-one clinical support, and excellent..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
... Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works on ... a part of Humana Go365 Service Operations - As an Inbound ... 1, you will provide perfect..
Description Responsibilities This position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be ..
... have several new Inbound Contact Representatives openings that will have the ... our members and providing excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... 1 - 2 years previous customer service experience Excellent verbal and written ... and/or ICD-10 codes Prior..
... manages claims operations that involve customer contact, investigation, and settlement of ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... of Call Center or related..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Glen Allen Virginia Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The ..