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Medical Management

South Otselic, NY
... Field Reviewer/Medical Record Chart Auditor, 06/2008 - 01/2009, and 08/2013 - Present – PIA and HEDIS audits Outcomes Health Solutions – Alpharetta, GA Review medical charts and scan for uploading and review for payment integrity and HEDIS audits ... - May 04

Manager Accounts Receivable

West Palm Beach, FL
... HIPAA compliance knowledge, HEDIS, Meaningful Use and PCMH measures. I am ICD 10 Proficiency and have my certificate. I am also knowledgeable with the special contracting, reimbursement and billing requirements for a Federally Qualified Health ... - May 02

Customer Service Care

Pittsburg, CA
... Administrator Certification (expired) HEDIS Online Courses, 1 - 4 2013 to Present Ashford University, San Diego, Ca 2006 to 2009 South University, Savannah, Ga 1996 to 1997 T.S.T.C./ LVN Program, Sweetwater, Tx PROFESSIONAL CALA Member since 2010; ... - May 01

LVN Case Management Field Intervention Nurse, Chronic Disease Nurse

Bakersfield, CA
... I have experience in Corporate Healthcare Insurance, Hedis,Star & Gap Fill ins. I have sat on CHF Pilot Board of Director's Meeting as Dr. M. Appel's guest. As I seen all of his patient's remotely in Kern County Regions and Kings County, Rural L.A. ... - Apr 29

Customer Service Administrative Assistant

Nederland, TX
... Coordination of HEDIS/HCC audits, superior customer service for providers and members, data entry of referrals/ authorizations. Generate and process denial letters. Travel with local senior leadership to establish new markets, to include training of ... - Apr 29

Master Public Health RN & Health Educator

Boston, MA
... Med Surg, Laboure’ College Regulatory Compliance and Data Management Experience, Boston, MA 1 yr Quality Control for NECQA-HEDIS compliance measurement matrix mgmt 1 yr SAS Data organization in epidemiology studies, 1 yr database mgmt 2 yr HIPAA ... - Apr 28

Qlikview Developer

United States
... Designed, developed, implemented and tuned multiple QlikView applications for the HEDIS, Claims, HSO, QII and Finance qlikview applications. Mainly designed and developed Qlikview software applications and complex server-based Qlikview dashboards ... - Apr 26

Medical Records

Smyrna, GA
... Tracking, Assembly, Chart Reviews, Action Plans Credentialing process and procedures on all levels LTRAX data entry management (HEDIS) Boot Camp Provided training to 10 staff members for LTRAX to ensure CMS standards. Clinical Data Analysis, ... - Apr 26

Customer Service Medical

Philadelphia, PA
Darrin Chapman ** ***** ********, ****** & Commercial Customer Service Experience Philadelphia, PA 19120 acugh5@r.postjobfree.com - 267 *** **** Authorized to work in the US for any employer WORK EXPERIENCE Customer Service Representative Hedis ... - Apr 21

Medical & sales

Edison, NJ
... customer relations, and account maintenance •Received company’s highest sales award for two consecutive years (2003 & 2004) •Received outstanding achievement awards for sales performance among the top 10% of the company Skills: HEDIS Certification; ... - Apr 18
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