Medical Jobs in Carolina

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Job Information Humana MarketPoint Sales Representative (Health and Disability Licenses. Travel 100%) Several Locations/Island wide- Puerto Rico in Humacao Puerto Rico Description The MarketPoint Sales Representative - PR sells individual health ..

Job Information Humana Agente de Ventas / MarketPoint Sales Representative (Health and Disability Licenses. Travel 100%) Puerto Rico in Humacao Puerto Rico Description The MarketPoint Sales Representative - PR sells individual ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..

Description The Subrogation Professional II 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 ..

Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..

Job Information Humana Senior Vendor Management Professional in San Juan Puerto Rico Description The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work ..

Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment ..

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and ..

... Do you love researching, analyzing medical documents to determine if something ... considered yourself a detective for medical claims / member benefits? Well, ... your help with: Managing client..

Job Information Humana Agente de Ventas /Sales Representative - Este, Oeste y Sur Area de PR (Health/Disability Licenses. Travel 100%) Sign-On & Retention bonus in Caguas Puerto Rico Description The MarketPoint ..

Description The Care Manager, Telephonic Nurse 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 and facilitate ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

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 Agente de Ventas /Sales Representative - Este, Oeste y Sur Area de PR (Health/Disability Licenses. Travel 100%) Sign-On & Retention bonus in Humacao Puerto Rico Description The MarketPoint ..

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 / Call Center Representative positions that will have the pleasure of taking inbound calls ..

... the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San ... Appeals Representative 3 manages client medical denials by conducting a comprehensive ... in the healthcare industry or..

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 ..

Job Information Humana Claims Review Representative 3 - Remote PR only in San Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of ..

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..

Job Information Humana Supervisor, Field/Sales Marketing (Supervisor de Promotores) West area of Puerto Rico in San Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes marketing campaigns to generate ..

Job Information Humana Medical Claims Processing Representative 2 in ... Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..