| Resume alert | Resumes 1 - 10 of 263 |
Medical Records Service Management
Raleigh, NC
... Checking UR mail for notifications from business office to support claim and recovery efforts. AS- STAND IN- DIRECTOR Holly Hill Hospital 4/2022-6/2022 Completing retro and appeal/grievances Running Medicare admit and discharge reports to ensure ... - Apr 21
... Checking UR mail for notifications from business office to support claim and recovery efforts. AS- STAND IN- DIRECTOR Holly Hill Hospital 4/2022-6/2022 Completing retro and appeal/grievances Running Medicare admit and discharge reports to ensure ... - Apr 21
Business Development Project Management
Holly Springs, NC
... Prepared a Position Paper to justify first-line monotherapy claim for an anticonvulsant drug Vimpat, instead of initially planned “conversion to monotherapy” claim based on a completed Phase 3 conversion design trial in patients with partial-onset ... - Apr 20
... Prepared a Position Paper to justify first-line monotherapy claim for an anticonvulsant drug Vimpat, instead of initially planned “conversion to monotherapy” claim based on a completed Phase 3 conversion design trial in patients with partial-onset ... - Apr 20
Azure Data Engineer
Holly Springs, NC
... TARDIS consists of enterprise data which would come from different sources (GENIUS, DUCK CREEK, CARLOS, FIG and CLAIM CENTER) and would store in TARDIS ware house. TARDIS is very critical to the entire Torus Insurance as it is single version of ... - Apr 18
... TARDIS consists of enterprise data which would come from different sources (GENIUS, DUCK CREEK, CARLOS, FIG and CLAIM CENTER) and would store in TARDIS ware house. TARDIS is very critical to the entire Torus Insurance as it is single version of ... - Apr 18
Technical Consultant Sap Abap
Cary, NC
... Mileage and space utilization Developed a report to update Moving Average price on daily basis using MR21 as required for claim processing by VISTEX Upload PIR Create/Change using call Transaction ME11/ME12 Enhanced PGI process to create PO for ... - Mar 31
... Mileage and space utilization Developed a report to update Moving Average price on daily basis using MR21 as required for claim processing by VISTEX Upload PIR Create/Change using call Transaction ME11/ME12 Enhanced PGI process to create PO for ... - Mar 31
Qa Analyst Software Development
Cary, NC
... Skills Used: Accompa, SQL, Postman Conduent, Ridgeland, MS Alaska - HOpR Position: QA Analyst The Alaska HOpR project will include EDI and the Health Enterprise applications which involves the member eligibility, claim payment and the provider ... - Mar 28
... Skills Used: Accompa, SQL, Postman Conduent, Ridgeland, MS Alaska - HOpR Position: QA Analyst The Alaska HOpR project will include EDI and the Health Enterprise applications which involves the member eligibility, claim payment and the provider ... - Mar 28
Scrum Master Product Owner
Apex, NC
... Well knowledge of HIPPA claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source, and providing solutions. Claim Transactions and Billing Transactions – created flows ... - Mar 19
... Well knowledge of HIPPA claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source, and providing solutions. Claim Transactions and Billing Transactions – created flows ... - Mar 19
Project Manager Social Media
Apex, NC
... Center for Symptom Relief – Columbus, OH 4/2014-4/2016 Manager Work with billing liaison to fix claim issues. Educated staff on new changes with billing and coding. Created employee schedules and helped train new employees on operations. Additional ... - Mar 19
... Center for Symptom Relief – Columbus, OH 4/2014-4/2016 Manager Work with billing liaison to fix claim issues. Educated staff on new changes with billing and coding. Created employee schedules and helped train new employees on operations. Additional ... - Mar 19
Quality Assurance Data Warehouse
Apex, NC
... Good experience in End to End testing, support multiple based and backend data validation for health insurance applications like Facets, CMS, Claim, MMIS. Followed the Agile methodology, analysed and incorporated User Stories in different release ... - Mar 18
... Good experience in End to End testing, support multiple based and backend data validation for health insurance applications like Facets, CMS, Claim, MMIS. Followed the Agile methodology, analysed and incorporated User Stories in different release ... - Mar 18
Quality Engineer Qa Analyst
Cary, NC, 27519
... Executing test Cases in SIT environments for claim Connect web base application. •Verify the data accuracy for EDI; Test the Core Claim processes including Mailroom, Intake, using EDI processing. •Verify ICD-10 Code compliance requires vs. ICD-9 ... - Mar 14
... Executing test Cases in SIT environments for claim Connect web base application. •Verify the data accuracy for EDI; Test the Core Claim processes including Mailroom, Intake, using EDI processing. •Verify ICD-10 Code compliance requires vs. ICD-9 ... - Mar 14
Customer Service Human Resources
Raleigh, NC, 27610
... Strived to reduce and/or alleviate high risk situations that would otherwise result in an EEOC, DOL, ADEA claim or litigation. Gathered and prepared all documentation requested for EEOC claims, lawsuits and wage and hour complaints. Developed ... - Mar 11
... Strived to reduce and/or alleviate high risk situations that would otherwise result in an EEOC, DOL, ADEA claim or litigation. Gathered and prepared all documentation requested for EEOC claims, lawsuits and wage and hour complaints. Developed ... - Mar 11