Humana
Bismarck, ND, USA
Become a part of our caring community and help us put health first The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy claims for payment & performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or pay claims following organizational policies and procedures. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. The role will also involve outreach to member or pharmacy in conjunction with Claim Processing duties. Expectations are production based wherein associate success is gauged on efficiency, accuracy, and minimal idle time activity. Use your skills to make an impact Required Qualifications High School Diploma or equivalent 1-3 years of experience within the...


