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

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Resume alert Resumes 11 - 20 of 839

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

Supply Chain Site Manager

Westerville, OH
... - Bachelor of Arts: Health Care Administration 7/21 Fortis College- Associate of Applied Science: Medical Business and Clinical Specialist 7/11 Cook Counseling and Consulting 4/2025- Present Social Work Trainee •Simple Practice •Check in Clients ... - Sep 15

Call Center Service Representative

Canal Winchester, OH
... and changed consumers managed care plan in a call center Completed yearly Medicaid renewals Educated consumers on Medicare and how their benefits changed once Medicare started and Medicare Premium Assistance Programs when they were no longer ... - Sep 05

Human Resources Practitioner (all areas of HR)

Columbus, OH
... Tracked and processed credentialing for physicians and clinical staff. Coordinated benefit enrollments and educated staff on benefit offerings. COLUMBUS CITY SCHOOLS — COLUMBUS, OH Board of Education Administration HR Consultant – Benefits Analyst & ... - Aug 12

Siu Investigator Claims Adjuster

Columbus, OH, 43215
... MSO / WC Claims Specialist Aetna – New Albany, OH September 2019 – April 2020 Manage CPT code modifications and process Medicare reimbursements for New Jersey-based providers. Maintain compliance with Medicare regulations while ensuring timely and ... - Aug 11

Machine Learning Data Scientist

Columbus, OH
... Created interactive dashboards and clinical reporting tools with Tableau, Power BI, and Plotly for hospital administrators and healthcare providers to track KPIs and patient outcomes and developed predictive models using Scikit-learn, XGBoost, and ... - Aug 04

Pharmacy Technician Medical Records

Columbus, OH
... • Researched clinical criteria and interpreted benefit plans. Home Health Aide — Homecare by Blackstone (May 2017 – November 2017) • Assisted with personal care and monitored patient health. • Prepared meals and escorted clients to appointments. ... - Jul 31

Sales Manager Medical

Columbus, OH
... CORE COMPETENCIES • Strategic Sales Across Large Territories • Remote Independent Representation – since 2009 • Clinical, Service, Consultative Based Sales Exp. • Funnel Management and Closing Techniques • Trade Show Experience and Ability to Travel ... - Jul 31

Billing Specialist Data Entry

Columbus, OH
... managed office tasks and consistently met assigned deadlines Billing Specialist AultCare, Jul 2007 – Jun 2011 Processed Medicare claims both manually and electronically Ensured timely submissions and consistently met deadlines Monitored account ... - Jul 30
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