Humana
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
Bilingual Claims Review Representative
🔥 2 hours ago
🇵🇷 Puerto Rico – Remote
💵 $35.8k - $48.2k / year
⏰ Full Time
🟢 Junior
📋 Claims Specialist
🚫👨🎓 No degree required
🗣️🇪🇸 Spanish Required
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Humana
10,000+ employees
Founded 1961
⚕️ Healthcare Insurance
Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
📋 Description
• partners with professional staff on pre-screening review by applying guidance • makes appropriate decision which may include interpretation of provider information or data • focuses on methods, tactics and processes for completing administrative tasks/projects • regularly exercises discretion and judgment in prioritizing requests and interpreting procedures
🎯 Requirements
• Fully Bilingual in Spanish/English • Minimum of 1 year of strong and proven experience with processing and adjudicating medical claims • Knowledge with CPT, ICD9, and ICD10 terminology/codes • Proficiency in Microsoft Office applications including Word, Excel and Outlook
🏖️ Benefits
• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability insurance • life insurance
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