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Specialist for Member attribution research - DM
Ref No.: 17-09303
Location: Knoxville, Tennessee
Start Date: 07/06/2017
 Candidate will be researching in claims systems.  They will work from a spreadsheet and email box on claims that need to be researched.  For example:  A member might be assigned to an incorrect provider.  They must research to figure out who the correct provider is.  

People with past claims patient experience or coding experience.  
Must be proficient in Excel, Word and able to do internet searches. Someone who has worked for a health plan before is a huge bonus!

Job Skills
•Strong attention to detail
•Able to learn how to use multiple Humana systems for research
•Above average computer skills
•Highly ethical due to reviewing Personal Health Information
•Good organizational skills
•Willingness to learn new skills
•Team player
•High School degree
•Excellent written and verbal communication skills
•Telephone etiquette

Preferred but Required
•Prior health care experience
•Prior experience with provider claims
•Experience with medical terminology
•Some college