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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
Westerville, OH
Assisted in sorting of company data, fact-checking, and other administrative duties Utilized company database for data entry and scanning purposes Customer service and guest interaction Assisted with organizational upkeep and marketing through...
- 2021 Jun 24
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
Columbus, OH
... To Bring down and Bring up the application processes for Unix Admin team to perform Server related tasks. To Make sure all Upstream and Downstream Interfaces are connected and act in case of any feed failures or other Ad Hoc Requests Involved in ...
- 2021 Jun 14
Columbus, OH
... Reynoldsburg, OH 43068 *****.*****@*****.*** 614-***-**** Authorized to work in the US for any employer Work Experience Server/Bartender/Trainer/Hostess/Admin J. Alexander's Restaurants - Worthington, OH September 2008 to June 2018 Over the course ...
- 2021 Jun 07
Columbus, OH
... The project contains different processes, which includes applicant, admin, HR, vacancy management system, position management system, ambassador management system etc. Each process contains its own logs systems and reporting services ...
- 2021 Apr 06
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
New Albany, OH
... Client PBGC Location Washington DC, USA Contribution • Manage, administration, configuration, and support IBM FileNet components of Content Engine and Process Engine, Admin Console for Content Engine, Workplace, Content Navigator, Object Stores, ...
- 2021 Mar 15
Columbus, OH
... The project contains different processes, which includes applicant, admin, HR, vacancy management system, position management system, ambassador management system etc. Each process contains its own logs systems and reporting services ...
- 2021 Mar 12
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