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Resumes 31 - 40 of 336 |
Allentown, PA
... Team representative to several work-groups and the “go to person” for the team First Call Resolution Survey questions, claim and benefit issues, and claim work-flows and procedures Kgb inc. (formerly Infonxx) Bethlehem, Pa 1997-2006 Quality ...
- 2023 May 30
Allentown, PA
... Assist claim with information need to get medical services Provide update medical tracking Request medical information from a hospital or physician provider. Monitoring medical accounts, medical billing and filling. Update Medical Roster child list ...
- 2023 May 20
Paoli, PA, 19301
... • Proficient clean claim rate to optimize revenue cycle • Account auditing to resolve posting errors, payer / patient credits and overdue balances. Primary contact for third party collection agency to confirm account status. • Credit resolutions for ...
- 2023 Apr 18
Newtown, PA
... Work with all regional payers within territory Provide pull-through activities with sales force Work with providers on all claim appeals and provide guidance on proper paper and electronic claims submission Director, Reimbursement April 2015 – ...
- 2023 Mar 31
North Wales, PA, 19454
... Consultant/Subrogation Performs analyses and reporting, including forecasting and trending, of financial and management information with significant financial impact for Premiums/Fees, Accounts Receivable, Overpayment Recoveries and/or Claim related ...
- 2023 Mar 22
Bethlehem, PA, 18018
... – Aug 2013 Account Specialist 2 in the Maintenance and Billing Department Produced accurate billing statements for Guardian Group customers by proficiently processing plan holder changes and reports ensuring timely claim payments to their employees. ...
- 2023 Mar 15
Norristown, PA
... request, explanation of member benefits,while maintaining productivity ● Assisted Pharmacist with error codes and rejections to get a paid claim ● Assisted members in understanding and maximizing the use of their pharmacy distribution program. ...
- 2023 Mar 09
Newtown, PA
... • Workman’s Compensation • Liability Injury • NJ Permanency Evaluations • Medical Record Review • Military Exposure Claim • IRO Management Reviews • Review Medical Specialty IRs PROFESSIONAL EXPERIENCE INDEPENDENT MEDICAL PHYSICIAN 06/2003 ...
- 2023 Feb 15
Havertown, PA
... • Serve as a primarily contact for all inbound calls from all insurance company • Compose appeals letters to the third-party payors sending medical records, denial letter and claim form Force Staffing Agency /Temple Hospital Philadelphia, Pa ...
- 2023 Jan 21
Upper Darby, PA
... ● Communicate with superiors to resolve complex claim issues. ● Responsible for maintaining productivity and accuracy in accordance with the Trust standards. 1998 – 2001 Provider Appeal and Grievance Specialist, QualMed Plans for Health ● Researched ...
- 2023 Jan 06