Claims Review Representative ID-1610

Job Description

At Humana, we're looking for a Claims Review Representative to join our team. We need an individual who is able to provide reliable and accurate review of claims and claims-related activities.The ideal candidate must have a high school diploma or equivalent and at least two years of experience in health insurance claims processing. Knowledge of benefits, coding, and reimbursement processes is essential. We are looking for a detail-oriented professional with great communication skills, the ability to work independently, and excellent problem-solving abilities.If you have a passion for understanding the complexities of health insurance and a commitment to delivering quality customer service, we would love to hear from you!

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Job Qualifications

  • Attention To Detail
  • Excellent Customer Service Skills
  • Strong Communication Skills
  • Analytical And Problem-Solving Skills
  • Knowledge Of Medical Terminology And Coding
  • Ability To Handle Multiple Tasks Simultaneously
  • Computer Proficiency
  • Bachelor's Degree Or Equivalent Experience

Required Skills

  • Documentation
  • Data Entry
  • Communication
  • Medical Terminology
  • Computer
  • Regulatory compliance
  • Organization
  • Problem-Solving
  • Multi-tasking
  • Interpersonal
  • Analyzing
  • Attention-To-Detail
  • Time-Management
  • Accuracy
  • Claims Review

Soft Skills

  • Communication
  • Conflict Resolution
  • Leadership
  • Time management
  • Interpersonal Skills
  • creativity
  • Organizational skills
  • Teamwork
  • Adaptability
  • Problem-Solving
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