| Resume alert | Resumes 51 - 60 of 494 |
Customer Service Medical Assistant
Warren, MI
... Full-time Redford Union High School, Redford MI 2006-2010 ● General Education EMPLOYMENT HISTORY: Robert Half- Customer Service rep February 2020-June 2020 ● Addressed billing questions ● Reviewed patient accounts ● Reviewed claim for appropriate of ... - 2023 Nov 28
... Full-time Redford Union High School, Redford MI 2006-2010 ● General Education EMPLOYMENT HISTORY: Robert Half- Customer Service rep February 2020-June 2020 ● Addressed billing questions ● Reviewed patient accounts ● Reviewed claim for appropriate of ... - 2023 Nov 28
Care Coordinator Team Members
Dearborn, MI
... • Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals • Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming ... - 2023 Nov 28
... • Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals • Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming ... - 2023 Nov 28
Human Resources Circuit Court
Oak Park, MI
... per week) • Responsible for gathering facts, interviewing witnesses, and preparing summaries of underlying evidence associated with a client's UIA claim. • Conducted research and placed outbound phone calls using client-provided technology. • ... - 2023 Nov 27
... per week) • Responsible for gathering facts, interviewing witnesses, and preparing summaries of underlying evidence associated with a client's UIA claim. • Conducted research and placed outbound phone calls using client-provided technology. • ... - 2023 Nov 27
Business Analyst Customer Service
Detroit, MI
... • Handling Pre-Authorization and Referral Data, Explanation of Claim denials and resolution possibilities, contacted 3rd party vendors or doctors/facilities on behalf of members, setting up claims for clinical review and follow-up. • Medical ... - 2023 Nov 22
... • Handling Pre-Authorization and Referral Data, Explanation of Claim denials and resolution possibilities, contacted 3rd party vendors or doctors/facilities on behalf of members, setting up claims for clinical review and follow-up. • Medical ... - 2023 Nov 22
Customer Service Sales Associate
Detroit, MI
... Additional Information SKILLS/CERTIFICATION OSHA Certification HIPPA Certification CPR Certification Patient Registration/Claim Gear Phone etiquette Microsoft Office Software Type 60 wpm Vital signs Prepare charts - 2023 Nov 20
... Additional Information SKILLS/CERTIFICATION OSHA Certification HIPPA Certification CPR Certification Patient Registration/Claim Gear Phone etiquette Microsoft Office Software Type 60 wpm Vital signs Prepare charts - 2023 Nov 20
Quality Assurance Supervisor
Sterling Heights, MI
... SUMMARY OF QUALIFICATIONS ●Management/ Supervisory level (up to 50 employees) ●Quality Supervisory Auditor ●Medical Billing Claim Representative ●Business Management Development Strategies ●Gatekeeper Entry Instruction & Introductions ●Celebrity ... - 2023 Nov 20
... SUMMARY OF QUALIFICATIONS ●Management/ Supervisory level (up to 50 employees) ●Quality Supervisory Auditor ●Medical Billing Claim Representative ●Business Management Development Strategies ●Gatekeeper Entry Instruction & Introductions ●Celebrity ... - 2023 Nov 20
Data Analyst Power Bi
Rochester, MI, 48309
... Accomplished a remarkable 30% reduction in claim processing through data-driven strategies and workflow improvement. Skilled in Tableau, SQL, Power BI, Excel, Data Extraction, and manipulation. Expertise in extracting, analyzing, and visualizing ... - 2023 Nov 13
... Accomplished a remarkable 30% reduction in claim processing through data-driven strategies and workflow improvement. Skilled in Tableau, SQL, Power BI, Excel, Data Extraction, and manipulation. Expertise in extracting, analyzing, and visualizing ... - 2023 Nov 13
Medical Billing Transcriptionist
Detroit, MI
... Experience: Guardian Angel Homecare Rochester Hills MI 11/15/21 – CURRENT Credentialing/demographics updates/follow-ups Pre-claim Palmetto GBA with submissions and denials Medical biller & Prior authorization specialist IQIES/QAPI Data analyst HCHB ... - 2023 Nov 04
... Experience: Guardian Angel Homecare Rochester Hills MI 11/15/21 – CURRENT Credentialing/demographics updates/follow-ups Pre-claim Palmetto GBA with submissions and denials Medical biller & Prior authorization specialist IQIES/QAPI Data analyst HCHB ... - 2023 Nov 04
Customer Service Team Lead
Roseville, MI
... Mitchell Medical operator Process medical bills for: EMS, Physician, Anesthesiologist Knowledge of medical codes, UB-04, CMS 1500, ICD-9, UB-92 claim forms Assist reps with reject claims, process appeals for denied claims References Upon request - 2023 Oct 31
... Mitchell Medical operator Process medical bills for: EMS, Physician, Anesthesiologist Knowledge of medical codes, UB-04, CMS 1500, ICD-9, UB-92 claim forms Assist reps with reject claims, process appeals for denied claims References Upon request - 2023 Oct 31
Management System Operations
Sterling Heights, MI
... oPost all insurance electronic and paper payments, including patient payments oSuccessful submission and collection on claim edits, rejections, denials including level I and II appeals oWorking NCCI rejections and getting rejections overturned ... - 2023 Oct 26
... oPost all insurance electronic and paper payments, including patient payments oSuccessful submission and collection on claim edits, rejections, denials including level I and II appeals oWorking NCCI rejections and getting rejections overturned ... - 2023 Oct 26