| Resume alert | Resumes 1 - 10 of 410 |
Customer Service Representative
Columbus, OH
... complex and high-cost medications, assisted with enrollment and insurance verification, addressed inquiries related to treatment plans and medication adherence, and coordinated with healthcare professionals to ensure timely delivery of medications. ... - Mar 30
... complex and high-cost medications, assisted with enrollment and insurance verification, addressed inquiries related to treatment plans and medication adherence, and coordinated with healthcare professionals to ensure timely delivery of medications. ... - Mar 30
Senior Accountant Business Management
Columbus, OH
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case ... CDC Of Franklin County (Contract) Columbus, OH Administrative Assistant 2018 -2019 • Ohio CACFP Child Enrollment Packet pre ... - Mar 28
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case ... CDC Of Franklin County (Contract) Columbus, OH Administrative Assistant 2018 -2019 • Ohio CACFP Child Enrollment Packet pre ... - 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
... Marketing, Sales and Enrollment, Transaction Processing, Payment Reconciliation, Premium Billing, Member Services such as retention and grievances, and all Compliance issues. MarketProminence’s automated solution for Medicare programs allows payor ... - Mar 15
... Marketing, Sales and Enrollment, Transaction Processing, Payment Reconciliation, Premium Billing, Member Services such as retention and grievances, and all Compliance issues. MarketProminence’s automated solution for Medicare programs allows payor ... - 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
Customer Service Social Media
Columbus, OH
... management and handle patient billing EDUCATION Hallandale High School, Hallandale,FL August 2013 - April 2017 Dual Enrollment at Sheridan Technical Center Major: Accounting Clerk and Business University of Connecticut, Storrs,CT August 2017 - ... - Feb 29
... management and handle patient billing EDUCATION Hallandale High School, Hallandale,FL August 2013 - April 2017 Dual Enrollment at Sheridan Technical Center Major: Accounting Clerk and Business University of Connecticut, Storrs,CT August 2017 - ... - Feb 29