- Humana (Corydon, IN)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty ... claims , submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex… more
- Molina Healthcare (Owensboro, KY)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more