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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
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 ..
... Contacts Representative 3 performs advanced administrative/operational/customer support duties that require independent ... a timely basis to achieve service and quality standards. Decisions are ... inbound call center or related..
Job Information Humana Consumer Service Operations Representative 2 (Data Entry/Call ... Puerto Rico Description The Consumer Service Operations Representative 2 is responsible ... the daily activities across multiple service functions..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in San Juan Puerto Rico Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, ..
... 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..
Description The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in San Juan Puerto Rico Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
... 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..
... 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..
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 ..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
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 ..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, ..
