Humana is seeking a Grievances & Appeals Representative 3 to manage members and provider Part B denials by reviewing clinical documentation and delivering final determinations with clinical partners. This is a remote, full-time role requiring independent judgment and strong coordination.
The position demands 1+ year in customer service and G&A, healthcare experience, and solid data-entry skills with Word/Excel; shifts may include overtime, with hours 7 a.m.–7 p.m. EST.
#J-18808-LjbffrRemote Grievances & Appeals Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.