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Case Manager
Columbus, OH
... Solving -Trainee -Fast Learner -Patient Care -Prior Authorizations -CPR -Scheduling Appointments -Maintaing Medical Records -Verifying CPT and Diagnosis Codes -Insurance Verfication -Medical Coding -WPM 25-30 -Time Management -Detailed Oriented - Sep 25
... Solving -Trainee -Fast Learner -Patient Care -Prior Authorizations -CPR -Scheduling Appointments -Maintaing Medical Records -Verifying CPT and Diagnosis Codes -Insurance Verfication -Medical Coding -WPM 25-30 -Time Management -Detailed Oriented - Sep 25
Customer Service, Healthcare Administration
Hilliard, OH
... Process all orders using appropriate billing codes and obtaining documentation necessary for prior authorizations. Answer and direct multiple inbound and outbound calls and emails to the appropriate destinations. Create process flows using different ... - Sep 18
... Process all orders using appropriate billing codes and obtaining documentation necessary for prior authorizations. Answer and direct multiple inbound and outbound calls and emails to the appropriate destinations. Create process flows using different ... - Sep 18
Work Home, customer service, medical, and administrative duties
Columbus, OH
... ●Requested, obtained, and documented all prior authorizations approvals or denials, appropriately and in a timely manner using EPIC and Advisory Board. ●Verified patient insurance coverage, benefits, and eligibility. ●Maintained and updated internal ... - Sep 03
... ●Requested, obtained, and documented all prior authorizations approvals or denials, appropriately and in a timely manner using EPIC and Advisory Board. ●Verified patient insurance coverage, benefits, and eligibility. ●Maintained and updated internal ... - Sep 03
Human Resources Practitioner (all areas of HR)
Columbus, OH
... Key Results: Assisted with leading the open enrollment and peoplesoft implementation (8.9 & 9.2) Collaborated with the bursars and payroll office for fee authorizations. Served on system implementation and policy design committees. EDUCATION & ... - Aug 12
... Key Results: Assisted with leading the open enrollment and peoplesoft implementation (8.9 & 9.2) Collaborated with the bursars and payroll office for fee authorizations. Served on system implementation and policy design committees. EDUCATION & ... - Aug 12
Machine Learning Data Scientist
Columbus, OH
... detection of anomalies in radiology images and automated triaging in diagnostic workflows and Utilized Google Big Query for cost-efficient querying of massive clinical datasets, enabling fast population health analytics and trend identification. ... - Aug 04
... detection of anomalies in radiology images and automated triaging in diagnostic workflows and Utilized Google Big Query for cost-efficient querying of massive clinical datasets, enabling fast population health analytics and trend identification. ... - Aug 04
Pharmacy Technician Medical Records
Columbus, OH
... • Insurance Claim Processing • Proficient at Data Entry • Effective Written and Verbal Communication • Prior Authorizations • Application & Background Checks EDUCATION High School Diploma, Westinghouse High School – Pittsburgh, PA – June ... - Jul 31
... • Insurance Claim Processing • Proficient at Data Entry • Effective Written and Verbal Communication • Prior Authorizations • Application & Background Checks EDUCATION High School Diploma, Westinghouse High School – Pittsburgh, PA – June ... - Jul 31
Customer Service Business Analyst
Franklin Township, OH, 43223
... •Interacted Daily with Plans verifying eligibility, obtaining overrides, obtaining/renewing prior authorizations, reverse/resubmit claims, opening windows to reprocessing old claims. •Resolved issues with any escalated orders. •Spoke with various ... - Jul 19
... •Interacted Daily with Plans verifying eligibility, obtaining overrides, obtaining/renewing prior authorizations, reverse/resubmit claims, opening windows to reprocessing old claims. •Resolved issues with any escalated orders. •Spoke with various ... - Jul 19
Customer Service Call Center
Columbus, OH
... •Write authorizations to ensure claims are paid correctly. •Multi-tasking by maneuvering through various computer programs and screens. •Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded. ... - Jun 20
... •Write authorizations to ensure claims are paid correctly. •Multi-tasking by maneuvering through various computer programs and screens. •Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded. ... - Jun 20
Customer Service Human Resources
Columbus, OH
... complete exams, and follow ups • • Obtained and verified all necessary personal information and insurances including authorizations Handled high volume of phone calls, incoming and outgoing, controlled and checked faxes for the clinic from other ... - Jun 10
... complete exams, and follow ups • • Obtained and verified all necessary personal information and insurances including authorizations Handled high volume of phone calls, incoming and outgoing, controlled and checked faxes for the clinic from other ... - Jun 10
Collections Specialist Prior Authorization
Columbus, OH
... Processed all order changes including order cancellations, return authorizations, reships and requests for credit. 11/2014-04/2017 Prior Authorization Representative • Express Scripts Managed inbound calls from pharmacists and doctors regarding ... - Jun 04
... Processed all order changes including order cancellations, return authorizations, reships and requests for credit. 11/2014-04/2017 Prior Authorization Representative • Express Scripts Managed inbound calls from pharmacists and doctors regarding ... - Jun 04