2d β’ General discussion
HUMANA IS HIRING π·ππ₯π©Ίπ©»βοΈβοΈππ
- Reviews level 1 appeals cases and ensures that information is accurate.
- Forwards appeals to CMS entity for further review.
- Investigates and resolves member and practitioner issues.
- Works within broad guidelines with little oversight.
Use your skills to make an impact
Required Qualifications
- 1+ years of grievances and/or appeals experience.
- Data entry experience.
- Intermediate proficiency with Microsoft Word and Excel.
- Experience in a production driven environment.
- Experience handling multiple projects and assignments as directed by management.
- Capacity to maintain confidentiality and work independently in support of the department.
- Virtual training will start on day one and be Monday β Friday, 8 am β 4:30 pm EST. Following training, candidates must be able to work an 8-hour shift, 5 days/week, Sunday through Saturday between 8am EST to 7pm EST. Shift will be assigned during training.
- Weekend work may be required based on business needs. There is a 5% shift differential for weekend work.
Preferred Qualifications
- Associate or bachelorβs degree.
- Previous inbound call center or related customer service experience.
- 2 - 4 years of grievance and/or appeals experience.
- Previous experience processing medical claims.
Additional Information
- Workstyle: remote, work from home or in office.
- Work Location: must reside in Central or Eastern Standard Time Zone (CST or EST).
- Work Schedule: must be able to work an 8-hour shift, 5 days/week, Sunday through Saturday between 8am EST to 7pm ES
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HUMANA IS HIRING π·ππ₯π©Ίπ©»βοΈβοΈππ
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