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Claims or Disputes or Fraud resumes in Columbus, OH, 43215

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Customer Service Team Lead

Columbus, OH
... 19th Street Pittsburgh, PA 15203 CCO Manager E-Mail: *************@*****.*** 412-***-**** Althea Forbes UPMC Physician Services 2 Hot Metal Street Pittsburgh, PA 15213 Claims Examiner E-Mail: *************@*****.*** 412-***-**** - May 25

Service Representative Customer

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 21

Office support staff

Reynoldsburg, OH
... October 1998 to July 2002 ACCOUNTS PAYABLE & REBATE CLAIMS at Becker Electric Company Supervisor: Mark Covey 513-***-**** Duties include paying direct invoices, filing claims, handling petty cash, daily checkbook and banking responsibilities, ... - May 19

Java Developer Senior

Blacklick, OH
... Environment: Java 8, Spring Boot, Docker, JMeter, Cucumber, Jenkins, GitLab CI, DB2, AWS EC2 Dedicated Technologies, Columbus, OH Jan 2015 – Dec 2015 Senior Consultant Client: OPERS, Columbus, OH Modernized healthcare claims processing system for ... - May 19

Data Entry Specialist

Dublin, OH, 43017
... • Each day, process ten or more warranty claims, coordinate multiple appointments, and process one to five mobile deposits and credit card transactions. • Maintain strict confidentiality and data integrity, assist with human resources tasks, and ... - May 18

Business Analyst Senior

New Albany, OH
... Testing encounter claims data systems for CMS agencies for system fixes an updates. Writing test cases and requirements for Medicaid and Medicare encounter claims systems for release updates for MMIS software. Writing requirements for software ... - May 15

Business Analyst Scrum Master

Columbus, OH, 43215
... Progressive Insurance (Remote) Aug 2023 – Mar’24 Sr Business Analyst & Scrum Master Description: As a senior Business analyst for the Claims team for Homeowners team and as a Scrum master for Business Built Apps migration project performed below ... - May 14

Systems Analyst Sr

Columbus, OH
... I developed Go-Live onboarding materials and played a key role in optimizing work queues (WQs) while improving revenue cycle efficiency by addressing delays in claims processing and reimbursement workflows. I routinely processed and transcribed ... - May 13

Data Engineer Machine Learning

Columbus, OH
... • Developed ML models for fraud detection using Python, Spark, and AWS SageMaker. • Created dashboards with Power BI and AWS QuickSight; improved time-to-insight by 25%. • Conducted statistical analysis and A/B testing for executive reports using ... - May 09

Data Entry Care Coordinator

Columbus, OH
... Skills - Medicaid Applications & Patient Reimbursements - Insurance Eligibility Verification - Claims Investigation & ... - Processed billing disputes and reimbursements while coordinating across internal departments. - Generated detailed reports ... - May 01
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