Role Overview:
- Analyzes and answers inquiries regarding pharmacy claims adjudication, including payment methods and denial reasons.
- Interprets department policy to complete assignments while working under minimal direction.
- Follows standard practices, allowing opportunity for interpretation and independent discretion.
Responsibilities:
- Adjudicates pharmacy claims and processes them for payment.
- Performs varied activities and moderately complex administrative, operational, and customer support tasks.
- Completes computations and semi-routine assignments.
Humana
Humana is committed to helping people live healthy lives, creating personalized experiences, and working collaboratively. They offer medical, dental, and vision benefits, a 401(k) retirement savings plan, and paid time off.