Grievances and Appeals Representative

Humana · Remote: United States

Salary: $43,000 - $56,200 a year

Full time Remote Customer Service Posted 8 hours ago

Skills this job asks for

Customer service Quality assurance Data entry Excel HIPAA Pharmacy Conducting Customer support Interpreting

About the role

Become a part of our caring community The Grievances & Appeals Representative 3 manages members and provider PART B denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal or further request is warranted.…

You will work closely with a small, friendly team and take on more as you settle in. Most days start with a short catch-up, then plenty of time for the work itself.

What you will do

• Look after the day-to-day running of your area
• Work with the people around you to plan the week ahead
• Share what you learn and help newer members of the team
• Keep things tidy, on time and to a high standard

About you

You care about doing good work, you are happy to ask questions, and you like being part of a team that looks out for each other.

What you get

Fair pay, time to learn, flexible hours where the work allows, and people who will be glad you joined.

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Grievances and Appeals Representative

Skills this job asks for

About the role

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