| Distance: | Resume alert | Resumes 31 - 40 of 110 |
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
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
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
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
Customer Service Data Entry
Columbus, OH
... Phone System Care Gaps Provider Care Changes Third Party Insurance Language Lines IAD CTI One X-Agent EXP Masess System Filing Appeals and Greivences Printer King Bling LLC - Columbus, OH June 2019 to Present I have my own company that I do custom ... - 2023 Aug 01
... Phone System Care Gaps Provider Care Changes Third Party Insurance Language Lines IAD CTI One X-Agent EXP Masess System Filing Appeals and Greivences Printer King Bling LLC - Columbus, OH June 2019 to Present I have my own company that I do custom ... - 2023 Aug 01
Customer Service Specialist
Columbus, OH
... • Training new hires • All patient correspondence from attorneys & vendors • Deceased accounts • Medicare/ Medicaid • Appeals • Denials • ICD-10, CPT Codes HEALTHSCOPE BENEFITS – FROM 12/01/2014 TO 9/01/2017 • Third party administrator CSR ... - 2023 Jul 17
... • Training new hires • All patient correspondence from attorneys & vendors • Deceased accounts • Medicare/ Medicaid • Appeals • Denials • ICD-10, CPT Codes HEALTHSCOPE BENEFITS – FROM 12/01/2014 TO 9/01/2017 • Third party administrator CSR ... - 2023 Jul 17
Customer Service Specialist
Columbus, OH
... Communicating with employers to ensure they have been notified of claims and appeals processes 4. Reviewing written documentation to determine if an employer has followed proper procedures in terminating an employee’s employment 5. Determining ... - 2023 May 24
... Communicating with employers to ensure they have been notified of claims and appeals processes 4. Reviewing written documentation to determine if an employer has followed proper procedures in terminating an employee’s employment 5. Determining ... - 2023 May 24
Operations Manager Senior
Pickerington, OH
... Experience includes: ● Employee relations training ● FC Connections Champion ● Lean manufacturing ● Kaizen leader and participant ● Six Sigma training ● Microsoft office ● Continuous improvement ● Associates appeals facilitator and panelist ● Labor ... - 2023 Jan 02
... Experience includes: ● Employee relations training ● FC Connections Champion ● Lean manufacturing ● Kaizen leader and participant ● Six Sigma training ● Microsoft office ● Continuous improvement ● Associates appeals facilitator and panelist ● Labor ... - 2023 Jan 02
Customer Service Sales Associate
Columbus, OH
... and appeals (member/provider) via target system Educates providers on our self-service options Assists providers with credentialing and re-credentialing issues Responds to requests received from Aetna's Law Document Center regarding litigation; ... - 2022 Dec 12
... and appeals (member/provider) via target system Educates providers on our self-service options Assists providers with credentialing and re-credentialing issues Responds to requests received from Aetna's Law Document Center regarding litigation; ... - 2022 Dec 12
Automation Clerk Legal Assistant
Dublin, OH
... Operations and Appeals Columbus, Ohio 2015-Present Legal Assistant for Administrative Law Judges- Hearings and Operations Reviews and analyzes the case to ensure sufficiency of evidence or documentation and to ensure the case is ready for hearing. ... - 2022 Oct 04
... Operations and Appeals Columbus, Ohio 2015-Present Legal Assistant for Administrative Law Judges- Hearings and Operations Reviews and analyzes the case to ensure sufficiency of evidence or documentation and to ensure the case is ready for hearing. ... - 2022 Oct 04