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Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
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..
... 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..
Description The Specialty Retention Executive - Employer Group 2-99 is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive - Employer ..
... (see details below under Additional Information) and upon offer will be ... guidelines, assessment and documentation practice. Bilingual English/Spanish. Must be able to ... limitations or assistance. See Additional..
Job Information Humana Claims Research & Resolution ... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Boston ... in Boston Massachusetts Description The Bilingual Claims Research and Resolution..
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 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 ..
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 Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..
... 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 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 Social Worker-MSW and licensure ... (see details below under Additional Information) and upon offer will be ... agencies and additional community resources Bilingual English/Spanish. Must be able..
Description The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare Members. The Inbound Contact Representative 2 strives to provide resolution or path way ..
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..
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 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 ..
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
Job Information Humana Inbound Contact Rep 2 ... Rep 2 - English OR Bilingual English and Spanish in Boston ... all platforms for all sensitive information Ability to focus on..
Description Humana is continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent ..
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 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 ..
