| Resume alert | Resumes 61 - 70 of 250 |
Data Entry Customer Service
Columbus, OH
... Provider Appeals Specialist Palmetto GBA * Columbus, Ohio February 2013 thru May 2013 Processed Medicare claims and Provider Appeals. Per information submitted for clients, allow or deny claims. Disallowed claims are processed for appeal if ... - 2022 Aug 18
... Provider Appeals Specialist Palmetto GBA * Columbus, Ohio February 2013 thru May 2013 Processed Medicare claims and Provider Appeals. Per information submitted for clients, allow or deny claims. Disallowed claims are processed for appeal if ... - 2022 Aug 18
Case Manager Assistant
Columbus, OH
... maintained effective relationships with service associates, monitored events, manage the day-today operations Humana – Grievance & Appeals Representative Oct 2019 – Nov 2020 Louisville, KY Conducted comprehensive analytic reviews of clinical ... - 2021 Oct 26
... maintained effective relationships with service associates, monitored events, manage the day-today operations Humana – Grievance & Appeals Representative Oct 2019 – Nov 2020 Louisville, KY Conducted comprehensive analytic reviews of clinical ... - 2021 Oct 26
News Reporter Enumerator
Hilliard, OH
... Legal Writing & Research: Full spectrum of experience preparing/arguing motions, discovery, trial items, appeals. Trial Experience and Court Appearance: Served as first chair on arbitrations, bench and jury trials; favorable verdicts and settlements ... - 2021 Oct 23
... Legal Writing & Research: Full spectrum of experience preparing/arguing motions, discovery, trial items, appeals. Trial Experience and Court Appearance: Served as first chair on arbitrations, bench and jury trials; favorable verdicts and settlements ... - 2021 Oct 23
Project Director Assurance Manager
Dublin, OH, 43017
... Manager Medicare Managed Care Appeals and Grievances and Quality- BCBSNC Winston Salem, NC June 2013-Dec 2016 Facilitated and adhered to processing timeliness to ensure compliance of CMS mandates and initiatives; while ensuring accurate, updated ... - 2021 Oct 18
... Manager Medicare Managed Care Appeals and Grievances and Quality- BCBSNC Winston Salem, NC June 2013-Dec 2016 Facilitated and adhered to processing timeliness to ensure compliance of CMS mandates and initiatives; while ensuring accurate, updated ... - 2021 Oct 18
Qa Automation Manual Tester
Columbus, OH
... Used Hybrid Framework of Selenium to get data from Excel. Build a detailed, reusable, Script - free Keyword + Data - Driven framework for over 45% Test cases using Selenium WebDriver + TestNG. Parallel, Cross - Browser Testing using Selenium Grid ... - 2021 Oct 11
... Used Hybrid Framework of Selenium to get data from Excel. Build a detailed, reusable, Script - free Keyword + Data - Driven framework for over 45% Test cases using Selenium WebDriver + TestNG. Parallel, Cross - Browser Testing using Selenium Grid ... - 2021 Oct 11
Sr Automation Test Engineer
Columbus, OH
... Test Framework Keyword Driven, Pega, Data Driven, Hybrid, Page Object Model (POM). Web Debugging Tool XPath, Pega, Firepath, Firebug. Utilities AutoIT, Sikuli Build Tool Maven, ANT Processes Agile-Scrum, Waterfall. Bug Tracking Tools JIRA, Quality ... - 2021 Jul 14
... Test Framework Keyword Driven, Pega, Data Driven, Hybrid, Page Object Model (POM). Web Debugging Tool XPath, Pega, Firepath, Firebug. Utilities AutoIT, Sikuli Build Tool Maven, ANT Processes Agile-Scrum, Waterfall. Bug Tracking Tools JIRA, Quality ... - 2021 Jul 14
Unit Assistant Service Representative
Columbus, OH
... Respond to third party inquiries regarding level of service coding, evaluate denied claims and file appeals when necessary. Certified Coder 10/11-5/13-Reviewed patient charts to determine accurate CPT, HCPCS and ICD-10 codes for billing based on ... - 2021 Jun 24
... Respond to third party inquiries regarding level of service coding, evaluate denied claims and file appeals when necessary. Certified Coder 10/11-5/13-Reviewed patient charts to determine accurate CPT, HCPCS and ICD-10 codes for billing based on ... - 2021 Jun 24
Customer Service Representative
Columbus, OH
... Eligibly (Insurance) PROFESSIONAL EXPERIENCE Centene Corporation Columbus, Ohio 2017-Senior Customer Service RepresentativePresent Assits medical proveiders with medical claims, prior authorization assistance, locating appeals, HIPPA verifications. ... - 2021 Mar 29
... Eligibly (Insurance) PROFESSIONAL EXPERIENCE Centene Corporation Columbus, Ohio 2017-Senior Customer Service RepresentativePresent Assits medical proveiders with medical claims, prior authorization assistance, locating appeals, HIPPA verifications. ... - 2021 Mar 29
Instructional Designer
Columbus, OH
... create support documentation and plans for instructional design teams across the university • INSTRUCTIONAL SUPPORT TEAM: collaborate with instructors from the School of International Service on the online/hybrid design of courses; facilitate course ... - 2021 Mar 12
... create support documentation and plans for instructional design teams across the university • INSTRUCTIONAL SUPPORT TEAM: collaborate with instructors from the School of International Service on the online/hybrid design of courses; facilitate course ... - 2021 Mar 12
Manager Care
Columbus, OH
... Currently building the UM policies for the health plan as well as the denials and appeals team being developed to effectively manage denials, fair hearings, and appeals. • Oversaw a Care Management team responsible for supports coordination, ... - 2021 Feb 18
... Currently building the UM policies for the health plan as well as the denials and appeals team being developed to effectively manage denials, fair hearings, and appeals. • Oversaw a Care Management team responsible for supports coordination, ... - 2021 Feb 18