Remote Claims Research & Resolution Specialist
Humana
Humana Inc. is seeking a Claims Research & Resolution Representative 3 to manage claims operations, including customer contact, investigation, and settlement, reporting to the Supervisor, Claims & Research Resolution. You will work with providers, members, and third-party collection services to resolve complex medical claims and ensure accuracy and compliance with policies and regulatory standards. Training is provided with virtual sessions, followed by ongoing work across shifts and platforms. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Research & Resolution Specialist in Atlanta, GA vacancy
- ...Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact, investigation, and settlement. You will report to the Supervisor, Claims & Research Resolution. Training is 8 weeks, Monday–Friday, 8:00am–4:30pm...Remote workClaimsMonday to FridayShift work
Humana
Salt Lake City, UT16 hours ago - Humana is seeking a Claims Research & Resolution Representative 3 to manage complex medical claims through investigation and settlement, collaborating with providers, members, and third-party services. You will use in-depth knowledge of claims processes, internal policies...Remote jobClaims
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Humana is hiring for a Claims Research & Resolution Representative 3. The role is remote with 40-hour weeks and 8-week virtual training, Monday-Friday 8:00am-4:30pm EST during training. After training, shifts may vary within 6:00am-5:30pm EST. The position requires 18 months...Remote jobClaimsMonday to FridayShift work- Humana is seeking a Claims Research & Resolution Representative 3 to join our remote team, supporting claims with providers, members, and third-party services. You will work on complex medical claims and report to the Supervisor, Claims & Research Resolution. The role...Remote jobClaimsShift work
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Humana is seeking a Claims Research & Resolution Representative 3 to join a remote team. You will handle claims operations, contact members and providers, investigate discrepancies, and settle complex medical claims under supervision. The role begins with 8 weeks of virtual...Remote jobClaimsMonday to FridayShift work- Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations including customer contact, investigation, and settlement... ...experience, plus Medicare/Medicaid claims knowledge, with remote work and occasional travel for training. Training lasts 8...Remote jobClaimsMonday to FridayShift work
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$43k - $56.2k
Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations, involving customer contact, investigation, and settlement... ...4:30pm EST, then shifts 6:00am-5:30pm EST, Monday-Friday. Remote position with potential travel to Humana offices for...Remote jobClaimsWeekly payMonday to FridayShift work- Humana is seeking a Claims Research & Resolution Representative 3 to manage complex medical claim investigations, negotiations, and settlements. You will collaborate with providers, members, and third-party teams to resolve issues, adhering to internal policies and regulatory...Remote jobClaimsMonday to FridayShift work
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Tri-anim
Virginia, MN2 days ago - ...support a growing team, the full-time Claims Resolution Specialist will review medical insurance claims... ...open account balances while working remotely. Key responsibilities Review all... ...denials from insurance providers by researching and responding to documentation requests...Remote workClaimsFull time
Virtual Vocations Inc
United States2 days ago $17 per hour
...Management WizardFlexible hours & work from home remote optionStarting salary: $17 AND UP (... ...over insurance denials, ensuring prompt resolution and securing payments for all... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and engaging...Remote workClaimsWork at officeWork from homeRSI
Arizona2 days ago- Currance, Inc. is hiring for an AR Specialist II in a remote role focused on hospital billing and denial follow-up.You will manage insurance claims from submission through resolution, handling denials, appeals, and account follow-up for a variety of payer sources to ensure...Remote jobClaims
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