| Resume alert | Resumes 31 - 40 of 250 |
Customer Service Specialist
Columbus, OH
... Medicaid, Medicare, MMP, and Marketplace for multiple states, Checked on claim’s status, assisted with appeals for denied claims, followed the steps on prior authorization for member eligibility and checked the state fee schedules for claim pricing. ... - 2023 Nov 20
... Medicaid, Medicare, MMP, and Marketplace for multiple states, Checked on claim’s status, assisted with appeals for denied claims, followed the steps on prior authorization for member eligibility and checked the state fee schedules for claim pricing. ... - 2023 Nov 20
Service Representative Customer
Columbus, OH
... •Capture member grievance, and relay appeals instructions for the appropriate line of business. Including future line of business •Ensure all HIPPA and STATE requirements, regulations are adhered to at all times, in existing and future line of ... - 2023 Nov 17
... •Capture member grievance, and relay appeals instructions for the appropriate line of business. Including future line of business •Ensure all HIPPA and STATE requirements, regulations are adhered to at all times, in existing and future line of ... - 2023 Nov 17
Project Manager Quality Assurance
Plain City, OH, 43064
... Skill & Expertise ● PMP Certification ● Project Management ● Systems & Business Analyst ● Scrum/Agile/Waterfall ● Business Development ● System Development ● Time Management ● Project Reporting ● Communication ● Remote/Hybrid/Colocated ● ... - 2023 Nov 14
... Skill & Expertise ● PMP Certification ● Project Management ● Systems & Business Analyst ● Scrum/Agile/Waterfall ● Business Development ● System Development ● Time Management ● Project Reporting ● Communication ● Remote/Hybrid/Colocated ● ... - 2023 Nov 14
Human Resources Medical Billing
Columbus, OH, 43210
... Contacts insurance agencies inquiring about claim status, status appeals and authorizations; handles requests from and collaborates with outside sources such as legal representation, physician offices, and insurance companies for information ... - 2023 Nov 08
... Contacts insurance agencies inquiring about claim status, status appeals and authorizations; handles requests from and collaborates with outside sources such as legal representation, physician offices, and insurance companies for information ... - 2023 Nov 08
Data Management Salesforce Developer
Columbus, OH
... ●Spearheaded the creation of a hybrid framework utilizing Java, and Selenium WebDriver, and incorporating both data-driven and behavior-driven approaches. ●Conducted regular smoke tests on the AWS server, effectively collaborating with a remote team ... - 2023 Nov 02
... ●Spearheaded the creation of a hybrid framework utilizing Java, and Selenium WebDriver, and incorporating both data-driven and behavior-driven approaches. ●Conducted regular smoke tests on the AWS server, effectively collaborating with a remote team ... - 2023 Nov 02
Customer Service Social Work
Columbus, OH
... Managed payment processing for attorney’s fees following resolution of appeals. Skills Personal Computer Interviewing Developing Case Plans for various populations: oGeriatric oTeens oChildren Child Welfare Training Program (2011-2012) Trained in ... - 2023 Sep 04
... Managed payment processing for attorney’s fees following resolution of appeals. Skills Personal Computer Interviewing Developing Case Plans for various populations: oGeriatric oTeens oChildren Child Welfare Training Program (2011-2012) Trained in ... - 2023 Sep 04
Automation Test Web Services
Columbus, OH
... Professional Summary: Lead/Manager experience in Automation and Manual Software Testing of Web-Based, Android, and iOS native and hybrid applications, Certified in ISTQB and QTP. Proficient in preparing Test plans, Test closure reports, scripts, ... - 2023 Aug 26
... Professional Summary: Lead/Manager experience in Automation and Manual Software Testing of Web-Based, Android, and iOS native and hybrid applications, Certified in ISTQB and QTP. Proficient in preparing Test plans, Test closure reports, scripts, ... - 2023 Aug 26
Customer Service Representative
Reynoldsburg, OH
... - Columbus, OH May 2021 to February 2022 Adjudicate pandemic unemployment claims and help with appeals and processe of payments. Advice claimants on next steps and assist with questions and emails regarding claims. Customer Loyalty Representative ... - 2023 Aug 18
... - Columbus, OH May 2021 to February 2022 Adjudicate pandemic unemployment claims and help with appeals and processe of payments. Advice claimants on next steps and assist with questions and emails regarding claims. Customer Loyalty Representative ... - 2023 Aug 18
Java, Spring, Spark, Hibernate, Angular, React, RESTful APIs, and DB
Columbus, OH
... PROFESSIONAL EXPERIENCE JAVA DEVELOPER Client: JPMorgan Chase & Co, Dec 2021 – Till Present Implementation Partner: Mphasis, Job Type: Contract (hybrid), Domain: Financial Banking, Location: Columbus, Ohio. Responsibilities: Worked on the design, ... - 2023 Aug 15
... PROFESSIONAL EXPERIENCE JAVA DEVELOPER Client: JPMorgan Chase & Co, Dec 2021 – Till Present Implementation Partner: Mphasis, Job Type: Contract (hybrid), Domain: Financial Banking, Location: Columbus, Ohio. Responsibilities: Worked on the design, ... - 2023 Aug 15
Project Manager
Columbus, OH
... Experience in MS Teams (TFS), ServiceNow, Planview, Sailpoint IIQ, SQL, Oracle DBs utilizing Hybrid Agile workflows, and Waterfall methodologies Career Highlights: Spearheaded the implementation of NACHA 1.6 regulation and cyber security protocols ... - 2023 Aug 03
... Experience in MS Teams (TFS), ServiceNow, Planview, Sailpoint IIQ, SQL, Oracle DBs utilizing Hybrid Agile workflows, and Waterfall methodologies Career Highlights: Spearheaded the implementation of NACHA 1.6 regulation and cyber security protocols ... - 2023 Aug 03