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... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... 1 - 3 years of customer service experience Must have experience in ... in the healthcare industry..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing customer needs, which may include acting ... Work Environment: This is a..
... Contacts Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Inbound Contacts Representative 3 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... information. Develops and maintains positive customer relations and coordinates with various ... within the company to ensure customer (member or provider) requests and ... cases, longer as needed and..
... 1 - 3 years of customer service experience Strong data entry skills ... of grievance and appeals experience Medical terminology experience Experience in the ... in the healthcare industry..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
... the work activities of the Service Level Management Team (SLMT) addressing ... the GBO contact centers including: Medical, Specialty, Go365 ensuring performance guarantees ... met as well as all..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Aberdeen South Dakota Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
... 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 ... Problem-Solving, and Critical Thinking..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Representative 2 addresses LI NET customer needs, which may include complex ... action. Escalates unresolved and pending..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 manages client medical denials by conducting a comprehensive ... Appeals Representative 3 performs advanced..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
... our members and provide excellent service and support. These fully Work ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
Description The Consumer Service Operations Professional 1 is responsible ... the daily activities across multiple service functions area. The Consumer Service Operations Professional 1 work assignments ... Humana is seeking..
... strong technical mindset rooted in customer service and problems solving skills. Develop ... Investigate and resolve system issues Customer support via phone, email and ... 1 or more years..
Job Information Humana Specialty Pharmacy RX Education Manager in Aberdeen South Dakota Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
