| Resume alert | Resumes 81 - 90 of 41275 |
Project Manager Management
Reston, VA
... This included automating their manual claim system and creating an application for automation. Ensuring overage costs do not occur due to excessive data hosting and maintaining a process of archival to avoid penalties. Designing, building and ... - Apr 23
... This included automating their manual claim system and creating an application for automation. Ensuring overage costs do not occur due to excessive data hosting and maintaining a process of archival to avoid penalties. Designing, building and ... - Apr 23
Machine Learning Business Intelligence
Long Beach, CA
... Provided advanced analytical support for Claim Quality and Continuous Improvement using Teradata SQL, managing large data across systems. Business Analyst III, Centene Corporation 11/2020 – 10/2023 Optimized reporting efficiency using SQL Server, ... - Apr 23
... Provided advanced analytical support for Claim Quality and Continuous Improvement using Teradata SQL, managing large data across systems. Business Analyst III, Centene Corporation 11/2020 – 10/2023 Optimized reporting efficiency using SQL Server, ... - Apr 23
Administrative Assistant/Retail Manager
Dahlonega, GA
... for enrollment purposes via Excel spreadsheets Continuous coverage of customer service regarding benefits, eligibility and claim information utilizing Metavance proprietary software Acted as backup Customer Service Reps during peak times 06/2006 to ... - Apr 23
... for enrollment purposes via Excel spreadsheets Continuous coverage of customer service regarding benefits, eligibility and claim information utilizing Metavance proprietary software Acted as backup Customer Service Reps during peak times 06/2006 to ... - Apr 23
Customer Service Medical Billing
Las Vegas, NV
... Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, POS) Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Workers Compensation Front Office Operations Medical Terminology Anatomy & ... - Apr 23
... Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, POS) Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Workers Compensation Front Office Operations Medical Terminology Anatomy & ... - Apr 23
Data Entry Production Worker
Shepherdsville, KY, 40165
... • Prepared and reviewed insurance-claim forms and related documents for completeness. • Collaborated with fellow team members to manage large volume of claims. • Assisted claimants with problems or questions regarding claims. • Provided quality ... - Apr 23
... • Prepared and reviewed insurance-claim forms and related documents for completeness. • Collaborated with fellow team members to manage large volume of claims. • Assisted claimants with problems or questions regarding claims. • Provided quality ... - Apr 23
VP of Family Roofing Company
Frisco, TX
... Claims Manager – August 1997 to April 2011 Investigated potentially fraudulent disability, life and healthcare claims via referrals, data-mining, anonymous tips for red flags and performed comprehensive investigation of claim Managed 10-15 Field ... - Apr 23
... Claims Manager – August 1997 to April 2011 Investigated potentially fraudulent disability, life and healthcare claims via referrals, data-mining, anonymous tips for red flags and performed comprehensive investigation of claim Managed 10-15 Field ... - Apr 23
Stack Developer Spring Boot
Justin, TX, 76247
... Maintains policy and claim files information in different content management tools. Responsibilities: - Worked in the complete Software Development Life Cycle including Requirement Analysis, Design, Implementation, Testing and Maintenance. Worked in ... - Apr 23
... Maintains policy and claim files information in different content management tools. Responsibilities: - Worked in the complete Software Development Life Cycle including Requirement Analysis, Design, Implementation, Testing and Maintenance. Worked in ... - Apr 23
Test Automation Project Management
Brockton, MA
... Converted and verified Auto Group Loaded file (Groups, Subgroups, Class, 270-Eligibility Enquiry,271- Eligibility Response, 835-Payment,837-Claim, Upay file) data with application data. UPMC benefit Plans(76) verification fully automated. Rolling ... - Apr 23
... Converted and verified Auto Group Loaded file (Groups, Subgroups, Class, 270-Eligibility Enquiry,271- Eligibility Response, 835-Payment,837-Claim, Upay file) data with application data. UPMC benefit Plans(76) verification fully automated. Rolling ... - Apr 23
Account Manager Relationship Management
Lowell, MA
... Maximized revenue by ensuring claim payment, tracking and resolving any issues with payer terms of reimbursement. Recommended improvements by identifying billing errors while accurately entering information to prevent payment delays. Additional ... - Apr 23
... Maximized revenue by ensuring claim payment, tracking and resolving any issues with payer terms of reimbursement. Recommended improvements by identifying billing errors while accurately entering information to prevent payment delays. Additional ... - Apr 23
Customer Service Data Entry
Elgin, IL
... Gerber Collision & Glass Schaumburg, IL Customer Service Representative April 2015 – December 2016 • File first notice of glass claim and accident. • Communicate with insurance company for approval. • Communicate and assign shop and dispatch orders. ... - Apr 23
... Gerber Collision & Glass Schaumburg, IL Customer Service Representative April 2015 – December 2016 • File first notice of glass claim and accident. • Communicate with insurance company for approval. • Communicate and assign shop and dispatch orders. ... - Apr 23