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Hilliard, OH
... Validated the integration of applications with Facets, which manages the customer service, claims, membership, care facilitation and appeals. Participated in testing various interfaces of Facets 4.71/5.01. Developed Test Strategy, Test Cases and ...
- 2018 Jan 24
Columbus, OH
... FILING BRIEFS FOR CIRCUIT COURT OF APPEALS SUCH AS 11.42, 60.02 CIVIL RULE 76.20 DECLARATION OF RIGHTS AND FEDERALS HABEAS CORPUS. Grievance Clerk: ASSISTING THE CLIENTS ON THE INFORMAL RESOLITION PROCESS IN WHICH THE STEP SHALL INVOLVE INQUIRES OR ...
- 2017 Aug 13
Columbus, OH
... for new hires and for all associates during open enrollment • Responsible for all unemployment responses, hearings, and appeals • Deliver an updated Employee Handbook that resulted in employee law updates and aligned policies • Partner directly ...
- 2016 Dec 02
Columbus, OH
... Broad Street) Drafting and filing of Motions, appeals, objections and correspondence. Managing attorney calendar events; Meetings Hearings Appointments Deadlines Statute of Limitations Workers’ compensation process management. Analyzing, reviewing ...
- 2016 Jun 27
Columbus, OH
... to decrease accidents and settlement of several outstanding and dormant claims Managed unemployment – decreased in rates due to appeals process and training of management on termination process Develop and implement policies and procedures to ensure ...
- 2015 Oct 01
Grove City, OH
... of illness and risk of mortality • Training and education of new inpatient coders • Provide continual education for existing inpatient coder • Monitor coding workflow • DRG validation appeals • Quarterly PEPPER reviews Mount Carmel Health Sept. ...
- 2014 Jul 24
Delaware, OH
... Claims Appeals . Customer Service . Regulatory and Compliance . ERISA, COBRA, HIPPA, FSA and ACA .Word, Excel, PowerPoint, Outlook and PeopleSoft Senior Account Representative Anthem (2013 - present) . Serve as primary client contact and liaison ...
- 2014 Jul 18
Columbus, OH
... compliance reports • Ability to create letters for employers, insurance companies, disability, work excuses, legal proposals, and appeals • Outstanding interpersonal and communication skills • Obtain precertification for procedures and medications • ...
- 2013 Aug 17
Columbus, Ohio, OH, 43204
... between provider and healthplan - Fee schedule trending and adjustments for reimbursements - Review and resolution of provider appeals and denials Education: Grand Blanc High School Grand Blanc, Michigan Diploma University of Michigan-Flint Flint, ...
- 2013 Jul 29
Dublin, OH
... Manage process in regard to timely submission and accurate response to the Ohio Department of Jobs and Family Services for all unemployment claims, appeals, and hearings, while monitoring charges. . Manage administration of the employee benefit ...
- 2013 Jul 28