| Resume alert | Resumes 1 - 10 of 211 |
Senior Accountant Business Management
Columbus, OH
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case management, Sandata. Ohio Living Corporate Central Authorization Coordinator Westerville, OH 2021-2022 • Collaborates with ... - Mar 28
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case management, Sandata. Ohio Living Corporate Central Authorization Coordinator Westerville, OH 2021-2022 • Collaborates with ... - Mar 28
Disability Claims Team Lead
Columbus, OH, 43219
... Palmetto Gba, Columbus, Ohio Appeals Specialist October 2010 to May 31, 2013 Perform reviews using clinical/medical information provided by physicians/providers and established criteria set or clinical guideline on Medicare appeals Provide support ... - Mar 24
... Palmetto Gba, Columbus, Ohio Appeals Specialist October 2010 to May 31, 2013 Perform reviews using clinical/medical information provided by physicians/providers and established criteria set or clinical guideline on Medicare appeals Provide support ... - Mar 24
Customer Service Call Center
Columbus, OH
... Cigna Insurance Company (Collabera Temporary Employment) - Nashville, TN Nov 2019 – Dec 2019 •CTS—processing Medicare Applications Lower Lights Christian Health Center - Columbus, OH Sep 2014 - Oct 2019 Medical Records Clerk •Created procedure ... - Mar 19
... Cigna Insurance Company (Collabera Temporary Employment) - Nashville, TN Nov 2019 – Dec 2019 •CTS—processing Medicare Applications Lower Lights Christian Health Center - Columbus, OH Sep 2014 - Oct 2019 Medical Records Clerk •Created procedure ... - Mar 19
Grievance and Appeals
Columbus, OH
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
Prior Authorization Services Representative
Columbus, OH
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
Sql Server Software Development
Dublin, OH
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
Project Manager Organizational Change
Delaware, OH
... Led a team of 18 IT professionals in developing and deploying MAS and AIMS software for billing to Illinois Medicare and Medicaid. Designed, assessed, and supported a WAN Citrix Pilot site with Hyper Stream Frame Relay architecture for the entire ... - Mar 13
... Led a team of 18 IT professionals in developing and deploying MAS and AIMS software for billing to Illinois Medicare and Medicaid. Designed, assessed, and supported a WAN Citrix Pilot site with Hyper Stream Frame Relay architecture for the entire ... - Mar 13
Financial Management Service Delivery
Columbus, OH
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
Information Systems Patient Care
Columbus, OH
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
Data Entry Customer Service
Columbus, OH
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27