| Resume alert | Resumes 61 - 70 of 991 |
Sql Server Business Intelligence
South El Monte, CA
... duties primarily related to troubleshooting production issues, creating SQL CPR (Custom Performance Repository) as a Baselining and Monitoring solution targeted at Healthcare/Claim Adjudication business transactions and ETL loads (Brigdegate, SSIS). ... - Jan 18
... duties primarily related to troubleshooting production issues, creating SQL CPR (Custom Performance Repository) as a Baselining and Monitoring solution targeted at Healthcare/Claim Adjudication business transactions and ETL loads (Brigdegate, SSIS). ... - Jan 18
Software Developer C#
Sunland, CA
... System application with Telerik and C# to automate task tracking for Medical Directors and healthcare employees, enhancing productivity management for supervisors by capturing their activities based on claim processing tasks from other applications. ... - Jan 18
... System application with Telerik and C# to automate task tracking for Medical Directors and healthcare employees, enhancing productivity management for supervisors by capturing their activities based on claim processing tasks from other applications. ... - Jan 18
Customer service representative
Fullerton, CA, 92831
... ● Verifies member eligibility, claim and authorization status for providers. ● Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances. Driver/ Medical Billing Life Fleet ... - Jan 17
... ● Verifies member eligibility, claim and authorization status for providers. ● Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances. Driver/ Medical Billing Life Fleet ... - Jan 17
Medical Billing Service Representative
Bellflower, CA
... COB PROFESSIONAL EXPERIENCE AR Representative-Insurance Follow Up Claim Analyst Member Service Representative Insurance Eligibility Verifier E go/Brault Practice Solutions, San Dimas, CA June 2015–Nov 2021 Ensured that accounts are accurate and ... - Jan 16
... COB PROFESSIONAL EXPERIENCE AR Representative-Insurance Follow Up Claim Analyst Member Service Representative Insurance Eligibility Verifier E go/Brault Practice Solutions, San Dimas, CA June 2015–Nov 2021 Ensured that accounts are accurate and ... - Jan 16
Accounts Receivable Delivery Service
Long Beach, CA
... • • Collections and Reimbursements Acquainted with Medicare rules and regulations • Contacting Insurances regarding claim denials, missing information or underpayments, and overpayments • Resolving claim mistakes or missing information and ... - Jan 15
... • • Collections and Reimbursements Acquainted with Medicare rules and regulations • Contacting Insurances regarding claim denials, missing information or underpayments, and overpayments • Resolving claim mistakes or missing information and ... - Jan 15
Claims Examiner High School
Los Angeles, CA
... Identify authorizations and match authorization to claim. 3/07-06/2008 Western Medical Management – Irvine, CA Job Title: Senior Claims Examiner and Customer Service Responsible for Cal OPTIMA/Medi-Cal, Healthy Families Commercial, Senior and ... - Jan 11
... Identify authorizations and match authorization to claim. 3/07-06/2008 Western Medical Management – Irvine, CA Job Title: Senior Claims Examiner and Customer Service Responsible for Cal OPTIMA/Medi-Cal, Healthy Families Commercial, Senior and ... - Jan 11
Business Analyst Project Management
Los Angeles, CA
... Claims Examiner/Specialist Caring 4 Healthcare LLC/ Clinicas Del Camino Real, Claims Unit 2019-2021 Worked to support team with claims analysis and claim processing of medical institutional and professional claims. Reviewing and auditing reports to ... - Jan 10
... Claims Examiner/Specialist Caring 4 Healthcare LLC/ Clinicas Del Camino Real, Claims Unit 2019-2021 Worked to support team with claims analysis and claim processing of medical institutional and professional claims. Reviewing and auditing reports to ... - Jan 10
Security Clearance Quality Analyst
Fullerton, CA
... I worked on Blue Squared Host/Home plan for Listing Search, SCCF History Search, Create New Message, Admin, Selective Purge, Claim Admin, Plan Profile. I trained two other QA about Blue2 application. Responsibilities: Responsible for analyzing BRD, ... - Jan 07
... I worked on Blue Squared Host/Home plan for Listing Search, SCCF History Search, Create New Message, Admin, Selective Purge, Claim Admin, Plan Profile. I trained two other QA about Blue2 application. Responsibilities: Responsible for analyzing BRD, ... - Jan 07
Quality Assurance Testing Tools
Stanton, CA
... Tool JIRA, HP Quality Center, RALLY, RTC Testing Tools Selenium WebDriver, Junit, TestNG, HP Quality Center, SOAP UI, POSTMAN Languages used Java, Javascript Product Testing Guidewire Claim Center, Guidewire Policy Center, Salesforce, GenAI. ... - Jan 05
... Tool JIRA, HP Quality Center, RALLY, RTC Testing Tools Selenium WebDriver, Junit, TestNG, HP Quality Center, SOAP UI, POSTMAN Languages used Java, Javascript Product Testing Guidewire Claim Center, Guidewire Policy Center, Salesforce, GenAI. ... - Jan 05
Document Control Project Management
Torrance, CA, 90501
... 01/2011-06/2011) • Complete processing of all required documentation for Claims, Notice of Intent to Claim (NOIC), Notifications of Potential Claims (NOPC), stemming from Request for Change (RFC), Contract Modifications (MOD) and Change Orders (CO). ... - Jan 03
... 01/2011-06/2011) • Complete processing of all required documentation for Claims, Notice of Intent to Claim (NOIC), Notifications of Potential Claims (NOPC), stemming from Request for Change (RFC), Contract Modifications (MOD) and Change Orders (CO). ... - Jan 03