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

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Financial Aid Business Administration

Hilliard, OH
... or trends from each Insurance company and provide resolution Appeals all denials for medical necessity with clinical documentation received from ordering physician offices, ORB and HPF Contacts Insurance companies for claim status and resolution. ... - Jun 16

Regional Manager Office

Hilliard, OH, 43026
... Led Six Sigma-based initiatives to enhance operational efficiency, including the development of a web-based database in collaboration with clinical informatics for improved recordkeeping accuracy. Developed and launched a system-wide Video Relay and ... - Jun 14

Customer Service Human Resources

Columbus, OH
... TECHNICIAN, Escondido, CA Acuity Eye Group Booked, managed, and confirmed new and existing patient appointments for clinical procedures, complete exams, and follow ups • • Obtained and verified all necessary personal information and insurances ... - Jun 10

Nurse Practitioner Mental Health

Columbus, OH, 43215
Liliane Chekeu Highly skilled psychiatric-mental health nurse practitioner clinical intern with extensive experience in assessing, diagnosing, and treating mental health conditions across all age groups. Conducts comprehensive psychiatric ... - Jun 10

Customer Service Administrative Assistant

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

Collections Specialist Prior Authorization

Columbus, OH
... 11/2014-04/2017 Prior Authorization Representative • Express Scripts Managed inbound calls from pharmacists and doctors regarding prior authorizations by screening and reviewing requests based on benefit plan design, client specifics and clinical ... - Jun 04

Program Manager Project

Powell, OH, 43065
... Project Manager Jan 2023 - Feb 2024 Florida Blue, Jacksonville, FL ● Led projects under the Clinical Data Acquisition (CDA) CMS mandate, focusing on the real- time retrieval of Medicare and Medicaid claims, clinical data exchange, and integration of ... - Jun 02

Customer Service Rep

Hilliard, OH
... -Act as an advocate for the members by communicating with network liaison, clinical professionals and finance staff at ... 04/2020 FINANCIAL COUNSELOR, ORTHOPEDIC ONE DUBLIN, OH - Medicare and Medicaid claims collections - Help patients set up ... - Jun 01

Human Resources Health Insurance

Reynoldsburg, OH
... Medicare, Medicaid, and comprehensive Managed Care plans. Team motivator who can build rapport and cultivate partnerships with vendors, internal and external customers, and peers to meet business service agreements. Effective communicator and ... - Jun 01

Service Representative Customer

Columbus, OH, 43232
... Molina Insurance, Columbus, OH 08/2014 - 04/2021 Member Service Representative 1 • As a customer service representative, passed all mandatory training at 100% accuracy to meet state Medicaid/Medicare mandates. • Worked with peers and other ... - May 27
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