Humana Inc
A healthcare company is seeking a Grievances & Appeals Representative 2 to manage client denials and concerns through analytic reviews of clinical documentation. The role involves addressing member inquiries, determining if further actions are warranted, and ensuring a quality experience for members. Required qualifications include at least one year of customer service experience in the medical field and proficiency in Microsoft Word and Excel. This is a remote position with a 40-hour work week, including potential weekend shifts.
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