- Humana (San Juan, PR)
- …by addressing incoming telephone, digital, or written inquiries from Medicare members. The Call Center Representative 2 strives to provide the member a ... caring community and help us put health first** The Call Center Representative 2 represents...to other Humana opportunities outside of Individual or Group Medicare . **Required Qualifications** + **Must** **currently** **reside in Puerto… more
- Humana (San Juan, PR)
- … Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation ... Typically works on semi-routine assignments. The Billing & Reconciliation Representative : + Reconciles accounts each month, documenting any problems found… more
- Humana (San Juan, PR)
- …+ Strong focus on accuracy and detail **Preferred Qualifications** + Previous inbound call center or related customer service experience + Previous Medical ... our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted via paper.… more
- Humana (San Juan, PR)
- … + 1+ years of grievances and appeals experience + Previous inbound call center or related customer service experience + Previous experience processing ... caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic… more