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Columbus, OH
... Correspond with medicaid, medicare, and commercial insurance companies on the status of claims. Handled appeals, followup, and denial claims. Was employee of the months several times for meeting the goals of the departments. Caregiver/self employed ...
- 2019 Dec 17
Delaware, OH
... Skills Database management Proof of Claims Warranty Issuance of Refunds 12K Word, Excel, Access Resource Management Systems – Discover Card Financial Service inhouse recovery system Credit Bureau Report evaluation Selected Employment History ...
- 2019 Oct 04
Reynoldsburg, OH
... -Version 1 (2001): Object Pascal (Delphi 6), embedded DBMS, Oracle 8i, PL/SQL, Quick Reports, MS Windows NT 4.0, Novell NetWare Project: Claims Imaging Storage System (CISS). This system reads scanned Medicaid claims as a binary images and stores ...
- 2019 Sep 27
Grove City, OH
... Created substantial savings for company and reduced customer claims by developing new suppliers. Member of Six-Sigma Steering Team. Implement SPC in production area. 1993-1998 Yusa Corporation Washington Court House, Ohio Supplier Quality Specialist ...
- 2019 Aug 20
Columbus, OH
... Codes/Diagnosis Procedure PROFESSIONAL EXPERIENCE MOLINA HEALTHCARE SERVICES (MHS) 09/2018-CURRENT JOB TITLE: CARE REVIEW PROCESSOR Works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
- 2019 Aug 09
Columbus, OH
... Change Management Led large organizational change management project that impacted over 5,000 IT associates Implemented claims management system improvements resulting in over $1.5M savings Provided program leadership for optimization improvement ...
- 2019 Aug 05
Columbus, OH
... In this position I provide information and procedures regarding regulations for submitting claims for reimbursement. I conduct briefings for service members to counsel and assists in the shipment and/ or storage of personal property. I schedule and ...
- 2019 Jul 16
Pickerington, OH
... • Assists with settling loss control claims. • Responds and provide assistance in emergency situations. • Provides leadership and a positive work atmosphere exhibiting professional conduct with open communication that promotes positive relationships ...
- 2019 Jun 23
Alexandria, OH, 43001
... performing quality assurance of the data configuration, Eligibility & Pricing configuration, medical billing, Claims processing, and Healthcare Payer Domain. Strong experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and ...
- 2019 Jun 03
Columbus, OH
... Criminology 1989 Tech Skills: Comptia A+ Certification 2007 Comptia Network + Certification 2007 Microsoft Windows XP 2007 Universal Class Mortgage Loan Officer 101-Certificate-2006 Mortgage Processor 101-Certificate-2006 Certified Notary Closing ...
- 2019 May 09