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St. Petersburg, FL
... CCS Medical 08/2008 – 08/2009 Customer Service Representative ● Provided support with processing prescription claim adjudications to the health plan for member patients. ● Reviews internal databases to complete accurate and timely follow-ups on ...
- Apr 24
Tampa, FL
... Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments. Expertise in Medicare billing procedures and regulations Proficiency in medical coding (ICD-10, CPT, HCPCS) Experience with billing software ...
- Apr 18
Tampa, FL
... the business partners • Coach, train and mentoring claim analyst on PI’s Preferred Materials – Accounting Clerk 2014- 2018 Tampa, FL • Process and maintain Accounts Payable records and resolve queries within an automated, high volume environment. ...
- Apr 17
Tampa, FL
... Strong problem-solving and communication skills Expertise in HR management and organizational improvements Familiarity with healthcare laws, insurance billing, and claim cycle EDUCATION: Registered Nursing Program, Hillsborough Community College, ...
- Apr 17
Tampa, FL
... Managing an inventory of claims to evaluate compensability/liability for each client and also determining their eligibility upon the requirements of each claim. Creating letter templates to mail out to providers of hospitals and medical offices in ...
- Apr 16
Tampa, FL
... Served as liaison between clients and government agencies for claim related matters. Documented case progress to client files and processed fees and costs invoices. Managed a team of 15 e-service team members tasked with filing legal pleadings. ...
- Apr 14
Tampa, FL
... • Validate the accuracy of medical codes provided in claim submissions. • Review and verify other insurance coverage information in submitted claim. • Utilize multiple computer applications simultaneously. • Maintain self-discipline, consistently ...
- Apr 09
Tampa, FL
... Chicago 09/1995-06/2001 National Account Manager-Business Analyst Operations and Business Management,-scheduling services through the client’s claim with technicians that got me involved with the start-up of this business through digital ...
- Apr 07
Northdale, FL, 33558
... ·Assists in uploading health insurance claim forms, and claims correspondence documents (reimbursements, appeals, refunds, etc.) in a time sensitive manner. Hiregy 813-***-**** ·Freedom Health (Feb. 23, 2015 - May 1, 2015) 5600 Mariner St. Tampa, FL ...
- Apr 04
Clearwater, FL
... SYSTEMS, INC., (acquired by ACS-Xerox), Richmond, Virginia DIRECTOR, CLIENT AUDITING SERVICES, Richmond, VA Reviewed and analyzed pharmacy claims submissions for abnormal dispensing and billing patterns compared to proprietary claim pattern metrics. ...
- Apr 03