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Columbus, OH
... COMPETENCIES • Project Management • Process Improvement & Training • Client & Vendor Relations • Healthcare Coordination • Claims Management • Cross-Functional Collaboration • Microsoft OƯice Suite Epic Encompass SharePoint ServiceNow PROFESSIONAL ...
- Jun 13
Lewis Center, OH
... running morning huddle reports, balancing the end of day and completing reports, ordering office supplies, working and sending claims, making deposits, scanning checks, working and maintaining the schedule, filled in for clinical work as needed; ...
- Jun 08
Orange Township, OH, 43035
... Designed and executed comprehensive test strategies for underwriting, policy issuance, claims, and regulatory compliance workflows integrated across web, mainframe, and batch systems. Developed and maintained automated test suites using QTP to ...
- Jun 05
Columbus, OH
... 11/2014-04/2017 Quality Auditor • Express Scripts Evaluated production processes for compliance with quality requirements. Ensured compliance with regulations by reviewing and analyzing the cases of the Prior Authorization team for accuracy. ...
- Jun 04
Powell, OH, 43065
... phases of CareFirst’s $20M+ enterprise-wide data consolidation initiative, focused on migrating legacy Medicaid and Medicare complete Claims, Enrollment, Ready adjudicate, Pharmacy, Dental, Vision, Providers data into the Trizetto Facets platform. ...
- Jun 02
Hilliard, OH
... and client information 08/2018-04/2020 FINANCIAL COUNSELOR, ORTHOPEDIC ONE DUBLIN, OH - Medicare and Medicaid claims collections - Help patients set up payment plans for balances owed - Work with physicians to do pre payments and surgery ...
- Jun 01
Columbus, OH
... Steer claims business partnerships to build enterprise data strategy, including outlining existing data landscape and determining future objectives. Perform vital tasks as Data Governance Advisor, Data Product Owner, Business Data Engineer, and Data ...
- May 28
Columbus, OH
... 08-202*-**-**** Tek Systems Columbus, OH Customer Service Representative (Temporary) A Assisted customers with information regarding pandemic unemployment claims. A Routed customers to the correct departments to assist further in pandemic concerns. ...
- May 27
Columbus, OH, 43232
... • Explained benefits, claims, and appeal procedures. • Ensured adherence to all HIPAA and state requirements and regulations. Molina Insurance, Columbus, OH 08/2014 - 04/2021 Member Service Representative 1 • As a customer service representative, ...
- May 27
Columbus, OH
... Billing Auditor Reviewed Client billings to verify accurate completion. Produced reports showing PPO’s and Stop Loss carriers Trained new employees on company processes Received award for process idea GREATWEST HEALTHCARE, COLUMBUS, OH 43585 Claims ...
- May 27