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Columbus, OH
... Developed written appeals, including detailed explanation of rationale for appealing claim denials. Monitored progress on all pending appeals cases ensuring timely resolution per established deadlines. Researched medical records to ensure accuracy ...
- Sep 16
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
Hilliard, OH
... Source Systems in order to clean up and eliminate medical record duplicates prior to the Epic Go DATA ANALYST/APPEALS & DENIALS 2007-2009 Manages daily Outpatient denials for RMH, OhioHealth Neighborhood Care Centers, and Worker’s Compensation ...
- Jun 16
New Albany, OH
... Business Analyst QSSI/Palmetto GBA Executed tests for MCS system for CMS/ Centers for Medicare and Medicaid to ensure correct electronic claim payments and denials. Wrote test cases as assigned by CMS for System Changes. Performed test planning, ...
- May 15
Columbus, OH
... ● Analyzes claims data to identify trends in denials and rejections. ● Performs account reconciliations between insurance companies and internal systems. ● Assists in onboarding new employees with orientation and training resources. Columbus ...
- Apr 24
Columbus, OH
... ●Provided day-to-day support for assessment and reconciliation of financial chargebacks between GSA (as a shared service client of USDA) and its customers, which also supported making recommendations to prevent future financial inefficiencies. ...
- Apr 20
Columbus, OH
... through Lenstar, LPS Blacknight & Tempo Register & Review 90 Day leers, NYS registrations, Referral: Title Order, military and pacer search Interaction with borrower/mortgagor Monitoring payment processing fee requests, approvals, and denials. ...
- Jan 09
Columbus, OH
... ACCOUNT RESOLUTION SPECIALIST – MEDASSIT / FIRST SOURCE – Ohio Roy Bennett Property Manager 614-***-**** 2016 – 2017 Process denials and rejections for CareSource. Research account denials and file written appeals when necessary. Research patient ...
- 2024 Nov 26
Columbus, OH
... SKILLS PROFILE • Superb communication skills, verbal and written • Exceptional research abilities to resolve missing data • Practiced ability to resolve claim denials increasing revenue from $3,000 to $132,000 monthly on average • Strong attention ...
- 2024 Oct 20
Columbus, OH
... and appeal status’s • Explanation of benefits review for accuracy • Update insurance information in EHR • Review claim denials and submit appeals with appropriate documentation • Review payer contracts • Request account adjustments with ...
- 2024 Sep 03