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... a timely basis to achieve service and quality standards. Follows standard ... Responsibilities: Accurately and concisely, documents customer feedback and special needs indicated ... work experience Engaging and persuasive..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... to their resolution. Provides exceptional customer service, ensuring that all interested parties ... or equivalent 2 years..
... 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..
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 ..
... 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..
... our members and providing excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... Medicare 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..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... contracts. Manages provider audits, provider service and relations, credentialing, and contract ... intake and manage provider perceived..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Bridgeport Connecticut Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... 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..
... 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 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 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 ..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Bridgeport Connecticut Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
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 ..
Description The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Bridgeport Connecticut Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The Enrollment ..
... 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..
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 ..
... 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..
... 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..
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 ..
