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Mountain View, CA, 94041
... Reported all unbilled claim information and issues to management to ensure there was no adverse effect on cash collections or accounts receivable. Maintained managed care and contractual arrangements in order to resolve and process accounts by HMO ...
- Apr 24
Santa Clara, CA
... analysis, drafting claim charts, motions to compel, responses to interrogatories, supporting witness & expert depositions, drafting/editing expert reports 2 and rebuttals, and preparing trial proceedings and exhibits through the entire trial. ...
- Apr 03
Palo Alto, CA, 94303
... Project involved requirements analysis involving health care claim pricing, benefits, Chargeback and end to end claim processing. This included submission, processing, pricing, benefits, finalization, remittance, adjustments. Worked on WCF and ...
- Mar 14
San Jose, CA
... Reviewed and redlined appropriate use of disclaimers, footnotes, anchors sufficiently support claim, etc. Timely reviewed all advertising & promotional/non-promotional materials to ensure compliance with the terms of approved product registrations, ...
- Feb 25
Union City, CA
... Responsible for developing efficient MapReduce on AWS cloud programs for more than 20 years' worth of claim data to detect and separate fraudulent claims. Used Reactjs for creating reusable components along with sliders, charts, grids and handling ...
- Feb 23
Redwood City, CA
... Monitor Veterans Open Disability Claim with the Department of Veterans Affairs Create Invoices to indicate current balance due and record payments that have been processed successfully. Compile pertinent information including instruments of payment ...
- Feb 08
Santa Clara, CA
... • Contributed substantially to the testing and validation of the Claim Payment Module. • Executed functional, system integration, and API testing, ensuring claim payment process accuracy and reliability. Tata Consultancy Services Limited Feb 2017 - ...
- Feb 02
Redwood City, CA
... Multi-task Ability PROFESSIONAL EXPERIENCE CLAIMS CUSTOMER SERVICE, REFUNDS & RECOVERY 2012 - 2021 Meritage Medical Network, Novato, CA ● Acquire claims payments and pursues recoveries through contact with various parties and/or claim recoupments. ...
- 2023 Dec 27
Hayward, CA, 94544
... Coordinating with all insurance companies regarding payment, pre-authorization and verifications, submitting medical claim forms, update patient files, schedule medical tests, and arrange for hospital admissions.
- 2023 Dec 16
Sunnyvale, CA
... Performance tuning ● Custom flex component integration into Xcelsius ● Proposing a Claim analytics dashboard to the customer Skills: Oracle 10G, Business Objects Data Integrator, Business Objects XI R2, Xcelsius 2008, QaaWS Role: Technical Lead 3. ...
- 2023 Dec 04