| Distance: | Resume alert | Resumes 41 - 50 of 110 |
Regional Director of Finance
Grove City, OH
... with increased proven revenue of 70% in a given year ●Responsible for posting all payments, working all denials and appeals ●Responsible for insurance follow up on unpaid accounts which includes any credits or refunds that are due ●Responsible ... - 2022 Sep 11
... with increased proven revenue of 70% in a given year ●Responsible for posting all payments, working all denials and appeals ●Responsible for insurance follow up on unpaid accounts which includes any credits or refunds that are due ●Responsible ... - 2022 Sep 11
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
... 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 documentations ... - 2021 Oct 26
... 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 documentations ... - 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
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
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
DNP, APRN, Family Nurse Practitioner
Powell, OH
... Committee, Mount Carmel College of Nursing • Online Council Committee, Mount Carmel College of Nursing • Chair, Academic Appeals Committee, Mount Carmel College of Nursing • Sigma Theta Tau International Lead Course Instructor: • Graduate-level ... - 2020 Dec 03
... Committee, Mount Carmel College of Nursing • Online Council Committee, Mount Carmel College of Nursing • Chair, Academic Appeals Committee, Mount Carmel College of Nursing • Sigma Theta Tau International Lead Course Instructor: • Graduate-level ... - 2020 Dec 03
Graphic Designer Social Media
Columbus, OH
... Executive Officer Run the social media pages for multiple brands Create digital content that appeals to the masses such as websites, flyers, and logos Create T-Shirt designs for brands Freelance graphic designer Kappa Alpha Psi Fraternity, Inc. ... - 2020 Nov 23
... Executive Officer Run the social media pages for multiple brands Create digital content that appeals to the masses such as websites, flyers, and logos Create T-Shirt designs for brands Freelance graphic designer Kappa Alpha Psi Fraternity, Inc. ... - 2020 Nov 23