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Customer Service Data Management

Grand Prairie, TX, 75050
... • Interpreting Policies: Analyzing insurance policies to determine coverage limits, exclusions, and conditions applicable to the claim. • PreparingReports:Creating detailed and accurate reports outlining the findings of the investigation, supported ... - Apr 19

Sr Database Developer

Frisco, TX
... • Data Migration and Data Integration Cleansing/data scrubbing • Data profiling and gap analysis Story-Based Development • D.0 Claim Processing HIPAA D.0 Implementation • HIPAA 5010 Implementation ICD 10 Implementation REFERRALS, AWARDS AND ... - Apr 18

Customer Service Data Entry

Forney, TX
... information to collection agencies for delinquent or past due accounts Posts insurance and patient payments using medical claim billing software • Contact patients to update insurance information For patients with coverage by more than one insurer, ... - Apr 18

Customer Service Billing Specialist

Arlington, TX
... • Collects and verifies all documentation necessary for timely billing of patient accounts, including requesting and collecting medical records and other documents ensuring the acceptance of the claim. • Works all reports related to billing, such as ... - Apr 17

Lead BI, DATA ANALYST

Dallas, TX, 75225
... •Developed Account, Member and Claim Hubs for data coming from various sources HRP, EDW, etc. and generated Guiding Care Reports •Scheduled Nightly and Micro Batches and was responsible for monitoring. •Created Splunk Alerts for Hubs jobs to avoid ... - Apr 12

Sql Server Database Administrator

Plano, TX
... Release BVD Data for SAP integration and the claim process generation for Rebate. Experience in designing, creating, maintaining, and deploying form reports, tabular reports, drilldown reports, drill through reports, ad hoc reports, multicolumn ... - Apr 10

Product Manager Business Process

Irving, TX
... Product: Identity Access Management, Appointments, Pharmacy, support center application, Compliance (FHIR API integration),Claim processing. Responsibility: ●Interacted with executives, product sponsors, key stakeholders, technical and business ... - Apr 09

Customer Service Call Center

Arlington, TX
... Able to work independently Honors/Awards: Ultimate Medical Academy Honor Roll Key Qualifications Electronic Health Records (EHR) Electronic Medical Records (EMR) Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front ... - Apr 09

Data Entry Medical Billing

Mesquite, TX
... HIPAA ICD-10-CM/PCS CPT/HCPCS Data extraction Scheduling Verification Registration COB Referrals Medical Records Legal Compliance Workers’ Compensation Terminology Medisoft SimChart Claim Entry Provider/Patient Relations 10-Key MS Office 45 WPM ... - Apr 09

Web Services Java J2ee

Frisco, TX
... I developed a Java client/server application (fully internationalized and verified using JILKIT and supported by JavaHelp API) used for loading patient benefits claim [checks] images from dBase and .csv [CDROM] manifests from multiple system feeds. ... - Apr 08
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