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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..
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 ..
... Grievances & Appeals manages client medical denials by conducting a comprehensive ... 4 - 6 years of customer service experience in the healthcare industry ... in the healthcare industry..
... 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..
... Appeals Representative 4 manages client medical denials by conducting a comprehensive ... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... 2 - 4 years of..
... 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..
... varied activities and moderately complex administrative/operational/customer support assignments. Typically works on ... 2 includes data entry into medical management system, assigning an appropriate ... provider, reviewing for benefits, and/or..
... 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 ... plus years of administrative or customer service experience Excellent verbal and written ... Preferred Qualifications Proficient utilizing..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Troy Michigan Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
... 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..
... 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..
... 2 or more years of customer service experience 1 or more years ... in the healthcare industry or medical field Advanced proficiency in Microsoft ... you will learn more..
Job Information Humana Specialty Pharmacy RX Education Manager in Troy Michigan Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
... Appeals Representative 4 manages client medical denials by conducting a comprehensive ... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... with little oversight. Manages client..
... 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..
... 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..
... Bilingual / Call Center / Customer Service Rep / Remote / Work ... / Bilingual / Call Center Customer Service Representative who is interested in ... team that focuses..
