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Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST ... assistance. See below for additional information regarding testing. Preferred Qualifications Bachelor’s ... active Compact nursing license Additional Information Work at..
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Description MUST BE BI-LINGUAL: KOREAN/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Description The Consumer Engagement Professional 2 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer Engagement Professional 2 work ..
Description The Bilingual Claims Research and Resolution Representative ... Where you Come In The Bilingual Claims Research & Resolution Representative ... it takes to Succeed Fully Bilingual English/Spanish. Must be..
Description The Bilingual Production Professional 2 produces of ... external and internal audiences. The Bilingual Production Professional 2 work assignments ... courses of action. Responsibilities The Bilingual Production Professional works..
... protect member PHI / HIPAA information Preferred Qualifications Bilingual English/Spanish. Excellent verbal and written ... Assessment in English/Spanish. See Additional Information on testing Personal or professional ... related customer..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Subrogation Professional 2 iIdentifies, 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 ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Job Information Humana Call Quality Professional 1 ... Humana Call Quality Professional 1 (Bilingual English/Spanish) in Louisville Kentucky Description ... Call Quality Professional 1 provides information to assist in the..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana Claims Research & Resolution ... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Louisville ... in Louisville Kentucky Description The Bilingual Claims Research and Resolution..
Description The Bilingual Sales Support Supervisor works within ... techniques, and analytical approach. Responsibilities Bilingual Supervisor, Sales Support who will: ... between 15 - 30 associates (Bilingual and non-bilingual full-time..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area, including but not limited to mobile touch point locations in the various markets. ..
Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments are varied ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
... focus. Ability to communicate general information such as pharmacy; plan medical, ... all platforms for all sensitive information Ability to focus on the ... review in the below additional..
Job Information Humana Inbound Contact Rep 2 ... Rep 2 - English OR Bilingual English and Spanish in Louisville ... all platforms for all sensitive information Ability to focus on..
Description The Care Management Support Assistant 2 (CMSA2) 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 ..
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 ..