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Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..
Job Information Humana Call Quality Professional 2 in Tampa Florida Description The Call Quality Professional 2 monitors and evaluates the quality of inbound and/or outbound customer service calls, call documentation, processes ..
16,026 Job Information Deloitte Bilingual Contact Center Agent - Government Public Sector in Lake Mary Florida Bilingual Call Center Agent - Government Public Agency Work you’ll do Be a first point ..
Description SeniorBridge is hiring remote, Part-Time Scheduling Coordinators to cover On-Call hours. On-Call hours include Mon-Fri from 5pm to 8:30am and Saturday, and Sunday from 8:30am to 8:30am. The Scheduling Coordinator ..
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 ..
SUMMARY: Ability to interpret accurately for any management or personnel staff. Must be able to interpret for any team members who speak Karen and are non- English speaking. Ability to interpret ..
Description Scheduling: Ensures that requests for homecare service are filled promptly , and scheduled into computer in a timely manner Ensure that homecare schedules are complete and accurate in computer Reviews ..
Description The Referral Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities Scheduling: Ensures that requests for homecare service are filled promptly , ..
16,026 Job Information Deloitte Bilingual Contact Center Agent - Government Public Sector in Miami Florida Bilingual Call Center Agent - Government Public Agency Work you’ll do Be a first point of ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Tampa Florida Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include ..
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..
Description The Bilingual Sales Support Supervisor works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists ..