| Resume alert | Resumes 21 - 30 of 93 |
QA Automation Engineer
Mechanicsburg, PA
... Expert in EDI and HIPAA Testing privacy with multiple Transaction exposure such as new Member enrolment 834 inbound, claim 837 inbound or claim adjudication responce to claim 835 outbond, 276 inquiry277 response, 270 eligibillity/271 benefits Used ... - 2023 Jan 17
... Expert in EDI and HIPAA Testing privacy with multiple Transaction exposure such as new Member enrolment 834 inbound, claim 837 inbound or claim adjudication responce to claim 835 outbond, 276 inquiry277 response, 270 eligibillity/271 benefits Used ... - 2023 Jan 17
Entry Operator Service Representative
Harrisburg, PA
... • Verify Subrogation claim, Work comp claims to determine primacy and fault. •Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims. •Examined forms and other records to determine insurance ... - 2022 Dec 29
... • Verify Subrogation claim, Work comp claims to determine primacy and fault. •Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims. •Examined forms and other records to determine insurance ... - 2022 Dec 29
health insurance
Lebanon, PA
... Acquired proficiencies: Microsoft OneNote, stratified audit system, paperless prepay tool, Claim Quality Assurance, Aetna Total Clinic View, Claim Audit System, Ultipro, Skype for Business, Quickbase, Telework tools. Job Title: Claim Reporting & ... - 2022 Dec 07
... Acquired proficiencies: Microsoft OneNote, stratified audit system, paperless prepay tool, Claim Quality Assurance, Aetna Total Clinic View, Claim Audit System, Ultipro, Skype for Business, Quickbase, Telework tools. Job Title: Claim Reporting & ... - 2022 Dec 07
Human Resources Manager
Harrisburg, PA
... Responsible for worker’s compensation claim management and reporting. Human Resources Manager August 2014 to January 2016 Appalachian Insulation Supply, Inc. Elizabethtown, PA Distributor of both residential and commercial insulation and related ... - 2022 Nov 04
... Responsible for worker’s compensation claim management and reporting. Human Resources Manager August 2014 to January 2016 Appalachian Insulation Supply, Inc. Elizabethtown, PA Distributor of both residential and commercial insulation and related ... - 2022 Nov 04
Data Entry Document Controller
Harrisburg, PA
... Claims Examiner 10/1987 to 09/1995 Blue Shield — Camp Hill, PA e Reviewed new files to determine current status of injury claim and to develop plan of action. © Collaborated with claims department and industry anti-fraud organizations to resolve ... - 2022 Sep 22
... Claims Examiner 10/1987 to 09/1995 Blue Shield — Camp Hill, PA e Reviewed new files to determine current status of injury claim and to develop plan of action. © Collaborated with claims department and industry anti-fraud organizations to resolve ... - 2022 Sep 22
Clinical Pharmacist Pharmacy
Lebanon, PA
... Lebanon July 2016 – April 2019 Pharmacy Clerk Assisted the Pharmacist in day to day operations Performed computer order entry and claim adjudication Provide admin-related tasks and support activities Received medications and medical supplies and ... - 2022 Apr 10
... Lebanon July 2016 – April 2019 Pharmacy Clerk Assisted the Pharmacist in day to day operations Performed computer order entry and claim adjudication Provide admin-related tasks and support activities Received medications and medical supplies and ... - 2022 Apr 10
Resources Manager Mechanical Technician
Enola, PA
... Warranty claim income is an important part of a dealership’s fixed expense operation – the parts, service and collision repair departments – but those claims can be tedious in nature. One wrong descriptive or code can result in the claim being ... - 2022 Jan 08
... Warranty claim income is an important part of a dealership’s fixed expense operation – the parts, service and collision repair departments – but those claims can be tedious in nature. One wrong descriptive or code can result in the claim being ... - 2022 Jan 08
Medical Billing Office
York, PA
... Resolve claim and billing issues. Contact Pharmacies for billing issues or advise on billing process if tertiary billing or other processing issues for claims. Speak with Medical staff on Prescribed medications. Fax Medical Office Medical Exception ... - 2021 Sep 09
... Resolve claim and billing issues. Contact Pharmacies for billing issues or advise on billing process if tertiary billing or other processing issues for claims. Speak with Medical staff on Prescribed medications. Fax Medical Office Medical Exception ... - 2021 Sep 09
Resources Administrator Benefits Coordinator
Dover, PA
... 4/00 – 01/07 Cleary Gottlieb Steen & Hamilton LLP New York, NY BENEFITS COORDINATOR * Administer Health Care/Dependent Care Flexible Spending Account including claim. processing, input of reimbursement amounts, coordinating with payroll for ... - 2021 Jul 24
... 4/00 – 01/07 Cleary Gottlieb Steen & Hamilton LLP New York, NY BENEFITS COORDINATOR * Administer Health Care/Dependent Care Flexible Spending Account including claim. processing, input of reimbursement amounts, coordinating with payroll for ... - 2021 Jul 24
Application Specialist Sas
Mechanicsburg, PA
... and med management etc.,) Extensive knowledge about HIPPA guidelines, PHI, EDI standards, State File structures (834, 837) claim processing methodology and payment and check write methods To provide analysis of healthcare on claims/member/providers ... - 2021 Jun 07
... and med management etc.,) Extensive knowledge about HIPPA guidelines, PHI, EDI standards, State File structures (834, 837) claim processing methodology and payment and check write methods To provide analysis of healthcare on claims/member/providers ... - 2021 Jun 07