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Project Manager Scrum Master

Newark, NJ
... Quality Analyst– eGain Communication,Maharashtra- Pune Aug 2013 – Aug 2015 Project-Humana Insurance Description: Humana is an insurance company, whose customers want information on their insurance like claim details, insurance policy details etc. ... - Feb 06

Customer Service Medical Billing

Queens, NY
... • Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes. • Adjust claims requiring minor steps to reprocess accurately. • Listen ... - Feb 05

General Ledger Accounts Payable

New York, NY
... ● Reviewed and analyzed employee group health claim, general liability and accident claim, worker’s compensation claim, and flexible spending account activity and make necessary accounting entries. Analyses impressed fund and reconciles the imprest ... - Feb 05

Call Center Customer Service

Bronx, NY
... • Forwarded problematic claim payment inquiries to the Claims department. • Maintained daily logs of customer service calls. • Transferred calls for medical authorization requests to the Utilization Management department. 2003 -2004 HEALTHCARE ... - Feb 05

United States Legal Consultant

Staten Island, NY
... Provided legal support and advice for CEO, Deputy CEOs, executives, general management including team leaders and advised Ed hoc Committees in terms of claim settlements, tender issue (RFP issues / pre-tender negotiation of contract terms and ... - Feb 04

Data Entry Customer Service

Brooklyn, NY
... NYS Dept Of Labor, Troy, NY Jun 99 – Mar 04 Senior Employment Security Clerk Telephone Claim Center Electronically filed all claimants’ files. Handled all telephone claims in both English and Spanish. Learned and practiced new protocol daily. ... - Feb 03

Internal Audit Risk Management

Jersey City, NJ
... Auditor (90) • • Audited cancellation claims in Japan that resulted in $3.6 million claim reduction. • Led royalty audits at Japanese OEMs and GM’s biggest JV and identified $597,000 extra royalties. • Participated in dealership audit that resulted ... - Feb 01

Customer Service Data Entry

Irvington, NJ
... Education University of ghana Accra Bachelor of Arts (B.A (Jun 2022) Skills Disciplinary Action Claim Processing Information Updates Data Imports Customer service associate Cook - Feb 01

.Net Core Developer

New York, NY
... ●Intimate knowledge of the financial loan and Healthcare claim processing system and cycle for QNXT, Facets, Qic Links and Encompass. ●Used Facebook`s JavaScript Library -- ReactJS and Redux to help develop Healthcare Assistant mobile application ... - Jan 31

Customer Service Administrative Support

Queens, NY
... •Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions. Customer Service Representative, Spectrum, August 2017-December 2021 FLUSHING, NY •Resolved customer complaints in a timely manner ... - Jan 28
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