| Distance: | Resume alert | Resumes 11 - 20 of 110 |
Billing Specialist Medical
Columbus, OH
... providers, billing staff and patients with chart issues • Inquire on claim status and complete claim reconsiderations and appeals for denied claims via internet/telephone • Perform functions as back up to manager Mid Ohio Eye Columbus, Ohio 10/2014 ... - 2024 Oct 20
... providers, billing staff and patients with chart issues • Inquire on claim status and complete claim reconsiderations and appeals for denied claims via internet/telephone • Perform functions as back up to manager Mid Ohio Eye Columbus, Ohio 10/2014 ... - 2024 Oct 20
Business Analyst Commercial Property
Columbus, OH
... Perform research on Member, Provider, Claims, Authorization, Appeals and Grievances data from FACETS back end and front-end application system for reporting purposes. Extensive involvement in data mapping using FACETS data model. Acquire signoffs at ... - 2024 Oct 14
... Perform research on Member, Provider, Claims, Authorization, Appeals and Grievances data from FACETS back end and front-end application system for reporting purposes. Extensive involvement in data mapping using FACETS data model. Acquire signoffs at ... - 2024 Oct 14
Real Estate Project Management
Gahanna, OH, 43230
... 1996 – 5/1998 Full-time Conducted statewide administrative reviews, investigations and dispositions of offender grievance appeals involving conditions of confinement for 33 institutions Provided direct supervision/direction, assistance and training ... - 2024 Sep 08
... 1996 – 5/1998 Full-time Conducted statewide administrative reviews, investigations and dispositions of offender grievance appeals involving conditions of confinement for 33 institutions Provided direct supervision/direction, assistance and training ... - 2024 Sep 08
Litigation Secretary
Columbus, OH, 43229
... summarize medical records • Handle cases as they make their way through State Courts, United State District Courts, Court of Appeals, Bankruptcy Courts, and various out-of-state Courts • Oversee the day-to-day operation for 2 Litigation Partners by ... - 2024 Sep 07
... summarize medical records • Handle cases as they make their way through State Courts, United State District Courts, Court of Appeals, Bankruptcy Courts, and various out-of-state Courts • Oversee the day-to-day operation for 2 Litigation Partners by ... - 2024 Sep 07
Accounts Receivable Analyst
Columbus, OH
... • Ensure daily claim files scrubbed for clean claim submissions • Claim denial root cause analysis • Submit insurance appeals • Implement financial policy for pre-service payment • Maintain ongoing knowledge of commercial, Managed Care, CMS ... - 2024 Sep 03
... • Ensure daily claim files scrubbed for clean claim submissions • Claim denial root cause analysis • Submit insurance appeals • Implement financial policy for pre-service payment • Maintain ongoing knowledge of commercial, Managed Care, CMS ... - 2024 Sep 03
Data Entry Administrative Assistant
Columbus, OH
... Prepare legal documents, including briefs, pleadings, appeals, wills, contracts, and real estate closing statements. Legal secretary at Knisley Law Offices 05/2004 - 06/2008 (4 years) Mail, fax, or arrange for delivery of legal correspondence to ... - 2024 Aug 12
... Prepare legal documents, including briefs, pleadings, appeals, wills, contracts, and real estate closing statements. Legal secretary at Knisley Law Offices 05/2004 - 06/2008 (4 years) Mail, fax, or arrange for delivery of legal correspondence to ... - 2024 Aug 12
Child Support Regulatory Compliance
Columbus, OH
... Advocated for and facilitated client interests in hearings conducted at the Federal Bankruptcy Court, Franklin County Court of Appeals and the Franklin County Probate Court. Navigated and presented cases and engaged in hearings in Franklin County ... - 2024 Jul 30
... Advocated for and facilitated client interests in hearings conducted at the Federal Bankruptcy Court, Franklin County Court of Appeals and the Franklin County Probate Court. Navigated and presented cases and engaged in hearings in Franklin County ... - 2024 Jul 30
Customer Service Due Diligence
Columbus, OH
... CVS Health – Columbus, Ohio February 2024 – April 2024 Medicare Grievances and Appeals Sr. Coordinator Review, analyze, and process policies associated with claim events to establish the company's liability, deficiencies, and entitlement. Create ... - 2024 Jul 18
... CVS Health – Columbus, Ohio February 2024 – April 2024 Medicare Grievances and Appeals Sr. Coordinator Review, analyze, and process policies associated with claim events to establish the company's liability, deficiencies, and entitlement. Create ... - 2024 Jul 18
Customer Service Data Entry
Columbus, OH, 43219
... maintains well-organized, accurate and complete files for all appeals. • Monitors each request to ensure all internal and regulatory timelines are met. Due to a large backlog of reconsiderations, I volunteered to assist with the backlog. I uploaded ... - 2024 Jul 17
... maintains well-organized, accurate and complete files for all appeals. • Monitors each request to ensure all internal and regulatory timelines are met. Due to a large backlog of reconsiderations, I volunteered to assist with the backlog. I uploaded ... - 2024 Jul 17
Data Entry Utilization Management
Columbus, OH
... ●Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. ●Comprehensive understanding of the admission, concurrent, continued stay and retrospective reviews using the established ... - 2024 Jul 17
... ●Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. ●Comprehensive understanding of the admission, concurrent, continued stay and retrospective reviews using the established ... - 2024 Jul 17