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Columbus, OH
... Compliance Committee and Senior management informed of the operation and progress of compliance efforts CUSTOMER SERVICE & CLAIMS SPECIALIST –AETNA INSURANCE - JUNE 2007- SEPT 2009 •Check to ensure that appropriate changes were made to resolve ...
- 2023 Mar 31
Columbus, OH
... Also, troubleshooted refund claims and credits to customers. I intercepted supervisor calls in order to resolve problems that did not require escalation. Quentin Residential Living Indianapolis, IN 4/10-4/11 Office Manager Reported to the Owner ...
- 2023 Mar 27
Dublin, OH, 43016
... Communicated with claims adjusters on claimant status and eligibility. Utilized proprietary systems and softward to add and change claimant data. Communicated with pharmacies to update processing information to ensure correct future billing. ...
- 2023 Mar 24
Columbus, OH
... Cross-Trained Dental Assistant 06/2015-10/2018 Comfort Dental EFTs, Insurance Claims, Tx. Plans EFTs, Insurance Claims, Treatment Planning, X- rays, Aftercare, Explaining Tx. Programs Used: Dentrix, Dexis, Excel, Word, Google, Paychex, PNC Banking ...
- 2023 Mar 23
Dublin, OH, 43017
... Aetna Health Plan, Columbus, Ohio 1994 – 1995 Claims Processor Van Dyne-Crotty, Columbus, Ohio 1993 – 1994 Sales Consultant Responsible for making sales calls to existing customers and expanding client base. Processing telephone orders. Achieving ...
- 2023 Mar 22
Columbus, OH
... Activities included assessment of Member, Claims and Provider data from various states to be integrated into centralized as well as regional repositories. The data was to be prepared for meeting regional, state and federal regulatory purposes. Focus ...
- 2023 Mar 17
Columbus, OH
... and timely manner •Communicate complex healthcare information in a understandable and relatable way to providers •Pend claims requiring and initiates action to obtain required information •Forward service form requiring to external department, ...
- 2023 Mar 17
Columbus, OH
... Worked on 401(k) administration, FMLA and workers’ compensation claims and benefits. Posted open positions on company and social media websites Generated employee tracking reports each month and maintained and updated associate required training ...
- 2023 Mar 01
Columbus, OH
... Helping member with Explanation of Benefits as well as claims issues. Educating members on their prescription drug coverage. ... Night Auditor Marriott North West Columbus 5605 Blazer Parkway, Dublin, OH, 43017 (614-***-***** July 2016- June 2019 As a ...
- 2023 Feb 27
Columbus, OH, 43201
... efficiency and compliance focused Computer System Validation Leader and Certified Project Manager, Domestic and International cGMP Compliance Auditor with over 30 years of experience in Pharmaceuticals, Medical Device and the Healthcare Industries. ...
- 2023 Feb 24