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Clinical or Reviewer or Medicare resumes in Columbus, OH, 43215

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Health Care Quality Assurance

Hilliard, OH
... Work Experience Quantum Health Columbus Ohio 2016-2025 Clinical Team Lead Provide coaching, education and mentoring to a team of nurses Proficient in Precertification and Utilization Management Clinical support for non-clinical personnel including ... - Nov 07

Service Representative Provider

Columbus, OH
... healthcare contact center calls and route appropriately to clinical staff • Gathered and verified demographic information ... Providers and Beneficiaries concerning the Medicare Part A, B, and D programs according to CMS/HCFA rules and regulations. ... - Nov 06

Home Health Account Executive

Grove City, OH
... References Amy Newman Gentiva Hospice, Account Executive 614-***-**** Tony Parsons Hospice, Account Executive 614-***-**** Stephanie Green Capital City Hospice, Account Executive 614-***-**** Elizabeth Stevens Clinical Liaison 380-***-**** - Oct 31

Customer Service Representative

Columbus, OH, 43215
... new referrals by email, telephone, fax and website Conducted statistical tests for decision support Verified Medicaid and Medicare hospice benefits Scheduled appointments and discharged plans with Admission nurses J Williams Staffing Real Estate ... - Oct 28

Health Care Internal Medicine

Hilliard, OH
... Advanced Clinical Research Associate Certification (ACRAC) EMPLOYMENT Medical Officer (Internal medicine specialist), Qatar Petroleum Health Care Department (2014-2023). Teaching international medical courses, Hamad International Training Center, ... - Oct 26

Stack Developer Spring Boot

Columbus, OH
... Angular7/8, TypeScript, Bootstrap 4, Mocha, Chai, JUnit 5, Mockito, Swagger/OpenAPI Specification, AWS (S3 for medical images, EC2, ECS, CloudWatch, CloudTrail), Docker, Maven 3.6.x, HIPAA Compliance, PHI Data Management, Clinical Workflow Systems. ... - Oct 15

Follow-Up Follow Up

Columbus, OH
... Identified and escalated issues affecting accurate billing and follow-up activities Communicates with appropriate hospital departments to clarify billing discrepancies, ad obtain demographic, clinical, financial, and insurance information Research ... - Oct 10

Customer Service Medical Assistant

Columbus, OH
... Inquiry Resolution • Microsoft Office Suite / Internal CRMs • HIPAA/Confidentiality Practices • Medical Terminology & Basic Clinical Procedures E x p e r i ence American Electric Power (AEP) – Remote & In-Office (Columbus, OH) Senior Lead Customer ... - Sep 28

Medical Billing Accounts Receivable

Whitehall, OH, 43213
... Core Competencies ● Expert in ICD-10, HMO, PPO, CPT and HCPCS (Medicare and Medicaid) coding ● Extensive experience in ... ● Retrieved patient and insurance payment remittance in a clinical setting and posted daily and monthly balances ● Updated ... - Sep 24

Administrative Assistant Forklift Operator

Columbus, OH
... Analyzed clinical data and healthcare coding to determine potential appealable issues. Composed clear and concise letters summarizing the appeal process, findings, and recommendation for resolution. Communicated effectively with external customers ... - Sep 16
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