Job Posting Title Grievances & Appeals Representative
Humana(1 month ago)
About this role
A Grievances & Appeals Representative 2 at Humana conducts analytic review of clinical documentation to assess whether grievances or appeals are warranted and collaborates with clinical teams to reach determinations. The role supports members and practitioners and operates within defined policies with some discretion in prioritization. This is a remote position that may require occasional travel for training or meetings.
Required Skills
- Customer Service
- Data Entry
- Microsoft Word
- Microsoft Excel
- Claims Processing
- Medical Terminology
- Grievances
- Appeals
- Document Management
- Interpersonal Skills
Qualifications
- Associate's Degree
- Bachelor's Degree
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
View more jobs at Humana →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Humana
Similar Jobs
Appeals and Grievances Clinical Specialist
France Cars SAS AAA(7 days ago)
Appeals and Grievances Clinical Specialist
France Cars SAS AAA(13 days ago)
Duals Supervisor, Appeals and Grievances
Brigham and Women(1 month ago)
Appeals & Grievances Coordinator
Brigham and Women(1 month ago)
Appeals & Grievances Coordinator
Brigham and Women(1 month ago)
Appeals and Grievances Clinical Specialist
France Cars SAS AAA(5 days ago)