| Resume alert | Resumes 31 - 40 of 100 |
Executive Administrative Assistant Data Entry
Columbus, OH
... PRIOR AUTHORIZATION AGENT (100% REMOTE) Sept 2021 – Feb 2022 EXPRESS SCRIPTS PHARMACY, INC Dublin, Ohio • Performed prior authorizations for Express Scripts Pharmacy TRICARE (DOD) Department of Defense via phone and via fax • Reviewed doctors and ... - 2023 Feb 18
... PRIOR AUTHORIZATION AGENT (100% REMOTE) Sept 2021 – Feb 2022 EXPRESS SCRIPTS PHARMACY, INC Dublin, Ohio • Performed prior authorizations for Express Scripts Pharmacy TRICARE (DOD) Department of Defense via phone and via fax • Reviewed doctors and ... - 2023 Feb 18
Customer Service Utilization Review
Canal Winchester, OH, 43110
... Review Medicare Part D and commercial prior authorizations for approval or denial based on relevant clinical information and criteria. Education September 1993-June 1998 The Ohio State University, Columbus, Ohio Bachelors of Science in Pharmacy ... - 2023 Jan 28
... Review Medicare Part D and commercial prior authorizations for approval or denial based on relevant clinical information and criteria. Education September 1993-June 1998 The Ohio State University, Columbus, Ohio Bachelors of Science in Pharmacy ... - 2023 Jan 28
Service Agent Customer
Columbus, OH
... guidance for benefits and creation of authorizations for treatment based on the member's health plan. Resilient under pressure Client Focused . St. Vincent Family Center, Columbus, Ohio- Adolescent Behavior Specialist January 2018- March 2019 ... - 2023 Jan 18
... guidance for benefits and creation of authorizations for treatment based on the member's health plan. Resilient under pressure Client Focused . St. Vincent Family Center, Columbus, Ohio- Adolescent Behavior Specialist January 2018- March 2019 ... - 2023 Jan 18
Service Representative Customer
Columbus, OH
... Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members’ health plan. Ask probing questions to recognize additional patient needs, including those beyond their current ... - 2022 Dec 17
... Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members’ health plan. Ask probing questions to recognize additional patient needs, including those beyond their current ... - 2022 Dec 17
Customer Service Sales Associate
Columbus, OH
... plan eligibility relating to incoming correspondence and internal referrals Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management Performs review of member claim history to ensure accurate tracking of ... - 2022 Dec 12
... plan eligibility relating to incoming correspondence and internal referrals Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management Performs review of member claim history to ensure accurate tracking of ... - 2022 Dec 12
Customer Service Operator
Columbus, OH
... Help assist members with PA and the status of prior authorizations Making sure member information is accurate Assigning case managers to members if need be Providing customer satisfaction HKT/Mapfre Insurance 10/2018-10/2019 Company bought Mapfre as ... - 2022 Dec 10
... Help assist members with PA and the status of prior authorizations Making sure member information is accurate Assigning case managers to members if need be Providing customer satisfaction HKT/Mapfre Insurance 10/2018-10/2019 Company bought Mapfre as ... - 2022 Dec 10
Care Representative Program Coordinator
Columbus, OH
... Care Representative Medco Health Solutions 1996 - 2005 Assisted health care professionals in obtaining medical prior authorizations of pharmaceuticals and counseled clients on at-home delivery of pharmaceuticals Lead trainer of managed-care staff ... - 2022 Dec 06
... Care Representative Medco Health Solutions 1996 - 2005 Assisted health care professionals in obtaining medical prior authorizations of pharmaceuticals and counseled clients on at-home delivery of pharmaceuticals Lead trainer of managed-care staff ... - 2022 Dec 06
Support Professional Research Specialist
Dublin, OH
... medical equipment from oxygen to motorized wheelchairs -Obtained prescriptions from physicians for the equipment and authorizations from Medigold -Ordered, delivered and billed for all equipment -Orthopedic Billing -Obtained billing from orthopedic ... - 2022 Nov 30
... medical equipment from oxygen to motorized wheelchairs -Obtained prescriptions from physicians for the equipment and authorizations from Medigold -Ordered, delivered and billed for all equipment -Orthopedic Billing -Obtained billing from orthopedic ... - 2022 Nov 30
Customer Service Representative
Columbus, OH
... Process third party pre-payment authorizations. Direct calls to the correct departments. Shift Manager Trainee April 2016 to January 2017 Tim Hortons Columbus, Ohio Organized a team of four team members. Controlling cash operations, on a daily basis ... - 2022 Oct 15
... Process third party pre-payment authorizations. Direct calls to the correct departments. Shift Manager Trainee April 2016 to January 2017 Tim Hortons Columbus, Ohio Organized a team of four team members. Controlling cash operations, on a daily basis ... - 2022 Oct 15
Service Representative Customer
Columbus, OH
... 3/2015- 4/2020 United Commercial Travelers Columbus, OH Accounting Clerk (12/2015- 4/2020) Paid all invoices, including getting authorizations, entering invoices for payment and coding. Account reconciliations, journal entries, monthly AP listing. ... - 2022 Oct 04
... 3/2015- 4/2020 United Commercial Travelers Columbus, OH Accounting Clerk (12/2015- 4/2020) Paid all invoices, including getting authorizations, entering invoices for payment and coding. Account reconciliations, journal entries, monthly AP listing. ... - 2022 Oct 04