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Resume alert Resumes 1 - 10 of 476

Business Partner/ Contract Management/ Procurement Manager

Detroit, MI
... Provided basic information regarding requirements for filing a claim, penalties for fraudulent claims, reemployment services, eligibility status and appeal procedures. Verified citizens’ status, lawful alien registration, and documented issues ... - Apr 19

Business Analyst- Software Engineer

Detroit, MI, 48219
... Topics included Raspberry Pi, Python, LegoBots, Battle Bots, Animation (Muvizu), Makey Boards, Scratch 09/2013 – 06/2014 AMTRUST FINANCIAL (Contract THOR) Software Engineer Design and implement Claim Payment, Claim Adjustments, Claim Transfers, Bulk ... - Apr 19

Administrative Assistant Customer Service

Rochester Hills, MI
... Records Management Check In Check Out Data Entry Release of Information HIPAA Compliance Medical Laws & Ethics CMS1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Basic ... - Apr 16

Prior Authorization Utilization Management

Wyandotte, MI, 48192
DOROTHEA CARTER Southgate, Michigan ***** 313-***-**** ad409b@r.postjobfree.com https://www.linkedin.com/in/dorothea-carter SUMMARY A highly skilled and detail-oriented claim processing professional with a solid background in claim processing in ... - Apr 15

Billing Specialist Follow Up

Madison Heights, MI, 48071
... Processed claims and contacted insurance companies to check status of claim. Collaborated with Insurance representatives to solve problems RE: claims payment. Billing Specialist Michigan Surgical Hospital - Warren, MI April 2009 to July 2017 Process ... - Apr 11

Data Entry Customer Service

Detroit, MI
... MI - Southfield, MI July 2001 to September 2003 Accurately responded to client telephone inquiries resolving health care claim and policies issues Recorded thorough documentation of client encounters Effectively communicated between departments to ... - Apr 07

Customer Service Administrative Assistant

Fraser, MI
... KEY QUALIFICATIONS Basic Coding Skills for ICD/CPT Medical Billing Third Party Medicare Medicaid HMO PPO CMS1500 Claim Form Billing Cycle Claims Appeal Process Medical Records Management Release of Information Electronic Health Records EHR / EMR ... - Mar 28

Data Analyst Analytics

Rochester Hills, MI
... View link Insurance dashboard with Tableau The dashboard detailed total annual premium, amount claim, and level of fraud reported in various states. View link Austin City bikeshare dataset on Google cloud (Big Query) Identified and analyze company ... - Mar 26

Customer Service Unit Leader

Roseville, MI
... Unit Leader Host BlueCard Claims Process & Blue Card Provider Advocate 2012-2017 Oversee a unit of 12 claim adjudicators ensuring that claims are processed in accordance with Blue Cross Blue Shield Association index performance measures. Provide ... - Mar 26

Call Center Supervisor

Detroit, MI
... Take calls from members and insurance companies regarding claims, claim denials and payment. Process patient payments and place customers on payment plans according to client. Shadow train new employees, special projects and field emails from ... - Mar 25
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