Remote TRICARE Claims and Policy Specialist
Humana
- Remote job
Humana, Inc. is seeking a Claims Process and Policy Professional 1 for a remote role focused on researching TRICARE rules and delivering accurate responses to inquiries from beneficiaries, providers, and partners. You will develop SME knowledge, identify root causes, and drive process improvements. The role emphasizes clear written communication, strong data analysis, and collaboration with peers and leadership. Occasional travel to Humana offices may be required for training or meetings. #J-18808-Ljbffr Humana
$16.5 - $17.65 per hour
...the next Patient Access Specialist champion. This role is... ...will work within the policies and processes as they... ...Important Message from Tricare, Observation Forms,... ...to assist with a clean claim rate.Responsible for accurately... ...Top Workplace for Remote Work 2024Great Place...Remote workPolicyClaimsReliefWork at officeLocal area$17 - $18.15 per hour
...:**The Patient Access Specialist is responsible for performing... ...will work within the policies and processes as they... ...Message from Tricare, Observation Forms, MOON... ...to assist with a clean claim rate.* Responsible for... ...Monster Top Workplace for Remote Work 2024Great Place...Remote workPolicyClaimsFull timeWork at officeLocal area$17 - $18.15 per hour
...Patient Access Associate Specialist - PRN About this job... ...will work within the policies and processes as they... ...Important Message from Tricare, Observation Forms, MOON... ...assist with a clean claim rate. Responsible for... ...Monster Top Workplace for Remote Work 2024 Great Place...Remote workPolicyClaimsHourly payPart timeReliefWork at officeLocal area$17 - $18.15 per hour
...the next Patient Access Specialist champion. This role is... ...will work within the policies and processes as they... ...Important Message from Tricare, Observation Forms,... ...to assist with a clean claim rate. Responsible for... ...Top Workplace for Remote Work 2024 ~ Great Place...Remote workPolicyClaimsFull timePart timeWork at officeLocal areaShift work- Humana, Inc. is seeking a Claims Process and Policy Professional 1 for a remote role supporting TRICARE-based claims processing and policy inquiries. You will research to ensure accuracy, handle inquiries from beneficiaries, providers, and partners, and work with the team...Remote jobPolicyClaims
$61.72k - $80.24k
...Traffic Management Specialist This National Guard position... ...Telework eligible No Remote job No Relocation... ...position may terminate Tricare Reserve Select... ...Experience in developing policies and administering the... ...ELIGIBILITY AND QUALIFICATION CLAIMS. Your resume must show...Remote workPolicyClaimsPermanent employmentFull timePart timeLocal areaImmediate startRelocationTrial period- Humana, Inc. is seeking a Claims Process and Policy Professional I for a remote/hybrid role focused on TRICARE claims processing and policy research. You will research claims, ensure accuracy, and collaborate with the team to resolve inquiries from beneficiaries and providers...Remote jobPolicyClaims
- Humana, Inc. seeks a Claims Process and Policy Professional 1 to handle TRICARE claims inquiries, research for accuracy, and resolve policy issues. The role supports an integrated remote team, with expectations to become SME and deliver results while working with internal...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional I to handle TRICARE claims research, policy inquiries, and inquiries from beneficiaries, providers... ...SME, and delivering concise written communications to leadership, with remote work #J-18808-Ljbffr HumanaRemote jobPolicyClaims
$65k - $95k
Principal Specialist (Medical Billing/Coding Expert)# Principal... ...medical billing codes, claims processes, and payer... ...Medicare, Medicaid, TRICARE, and commercial payer rules... ...regulatory and payer policy changes into practical... ...Lauderdale, FL office. Remote work may be considered...Remote workPolicyClaimsWork at officeLocal area- Humana, Inc. seeks a Claims Process and Policy Professional to handle TRICARE claims processing, research and customer inquiries. This remote role emphasizes accuracy, policy knowledge, and teamwork with a strong customer-service focus. The position requires U.S. citizenship...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional to handle TRICARE claims inquiries, research issues, and provide accurate, timely responses to... ...maintaining high standards of integrity and compliance. Remote work may be available to qualified candidates. #J-...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries in a remote capacity. You will research, validate, and resolve issues with accuracy, collaborating with a cross-functional team to deliver timely responses....Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 in a remote role to research TRICARE claims, answer inquiries, and support root cause analysis with providers, beneficiaries, and internal teams. Ideal candidates have 3+ years in TRICARE, data analysis...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional I for remote work in the United States. The role involves researching TRICARE claims, identifying root causes, and providing accurate responses to inquiries while collaborating with a cross-functional team...Remote jobPolicyClaims
- Humana is seeking a Claims Process and Policy Professional 1 for a remote role in the United States. You will handle inquiries from beneficiaries, providers, vendors, and internal partners, researching TRICARE rules to provide accurate answers. The position emphasizes a...Remote jobPolicyClaims
- Humana, Inc. in the United States seeks a Claims Process and Policy Professional to handle TRICARE claims inquiries, research policy interpretations, and provide... ...to beneficiaries, providers and partners in a remote work environment. The role emphasizes root-cause analysis...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 for a remote role in the United States. You will handle TRICARE-related claims inquiries, research to ensure accuracy, and work with teams to provide complete responses while upholding security requirements...Remote jobPolicyClaims
$18 - $19.15 per hour
...Patient Access Associate Specialist Ensemble is a... ...collections, and first-pass claim rates. Serves as the... ...They are to adhere to policies and provide excellent... ...Important Message from Tricare, Observation Forms,... ...Monster Top Workplace for Remote Work 2024 Great...Remote workPolicyClaimsReliefWork at officeLocal areaShift workNight shiftWeekend workDay shift- Humana, Inc. is seeking a Claims Process and Policy Professional to handle inquiries from beneficiaries... ...internal partners. You will research TRICARE rules, adapt to an integrated environment... ..., and collaboration with teammates. Remote work is supported, with travel for...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional I to handle TRICARE-related inquiries, research claim issues, and support policy interpretations... ...analysis and communicating complex concepts clearly. This remote position requires US citizenship for DoD contracts,...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims processes, policy inquiries, and root-cause analysis. The role emphasizes... ...with a focus on quality service and compliance. Remote work is available with occasional travel for...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims processing inquiries and policy questions. The role emphasizes accuracy... ...within established rules. The position supports remote work with periodic training and potential travel for...Remote jobPolicyClaimsContract work
- Humana, Inc. seeks a Claims Process and Policy Professional to handle TRICARE related claim inquiries, perform root-cause analysis, and contribute to process improvements in a remote role. You will research claims, prepare clear responses, and collaborate with senior leaders...Remote jobPolicyClaims
- ...highly motivated reimbursement specialist to manage patient billing and... ...infusion environment. This remote role supports Medicaid/Medicare... ...2–3 years of electronic claims submission and medical collections... ...while following company policies and procedures. #J-18808-LjbffrRemote workPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries, research rule accuracy, and collaborate with teammates... ...to become a claims SME. The position is remote with potential travel for training, with a 40-hour...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries. You will research and resolve inquiries, collaborating... ..., and the ability to present to senior leadership. Remote work is offered; travel to Humana offices may be...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries from beneficiaries, providers, and partners. You... ...and reimbursement methodologies. The role includes remote work with some travel for training and meetings. Required...Remote jobPolicyClaims
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 for a remote role in the United States. You will handle TRICARE claims, perform research, and respond to inquiries from beneficiaries, providers, and partners while advancing to SME status. Required experience...Remote jobPolicyClaimsContract work
- Humana, Inc. seeks a Claims Process and Policy Professional 1 to manage TRICARE claims processing and policy inquiries. You will research for accurate TRICARE rule... ...of integrity while supporting travel-ready training and remote work options. #J-18808-Ljbffr HumanaRemote jobPolicyClaims
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