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Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
Job Information Humana Outbound Contacts Representative 3- Puerto Rico ONLY in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members 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 ..
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 ..
Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Job Information Humana Compliance (UM) Coordinator 2 in San Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities ..
Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding a ..
Job Information Humana Outbound Contacts Representative 3/Fully Bilingual (English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to ..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in San Juan Puerto Rico Description Do you enjoy helping those in need? Do you love researching, analyzing ..
Description The Grievances & Appeals Representative 3 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
Description The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business Support ..
Job Information Humana Care Management Support Assistant 3/ Inbound Call Center - Remote, Puerto Rico in San Juan Puerto Rico Description As Care management Support Assistant 3, in Case Management Department ..
Job Information Humana Outbound Contact Representative 3 (FULLY Bilingual English/Spanish) San Juan, Puerto Rico in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound ..
Description The Subrogation Representative 3 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..