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Appeals resumes in Columbus, OH, 43215

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Test Cases Customer Service

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

Sales Information Security

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

Human Resources Manager

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

Manager Medical

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

Human Resources Sales

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

Manager Health

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

Employee Benefits Sales, Service and program administration

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

Human Resources Data Entry

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

Manager Customer Service

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

Human Resources Customer Service

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
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