| Resume alert | Resumes 1 - 10 of 393 |
Project Management Senior Manager
Tampa, FL
... in support of new or improving functionality of the CMS, Experience using the ServiceNow platform: designing, configuring, developing, troubleshooting, migrating and implementing baseline and custom applications • Managing DevSecOps/SRE from ... - Apr 27
... in support of new or improving functionality of the CMS, Experience using the ServiceNow platform: designing, configuring, developing, troubleshooting, migrating and implementing baseline and custom applications • Managing DevSecOps/SRE from ... - Apr 27
Customer Service Health Information
Tampa, FL
... Verified medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicated relevant coverage/eligibility information to the patient. Obtained pre-authorizations from third-party payers in accordance with ... - Apr 18
... Verified medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicated relevant coverage/eligibility information to the patient. Obtained pre-authorizations from third-party payers in accordance with ... - Apr 18
Cyber Security Project Management
Largo, FL
... FISMA, NIST RMF, NIST CSF, NIST SP 800-53, ISO 27001, ISO 27002, CMS MARS-E 2.2, IRS Pub 1075, HITRUST, HIPAA, GDPR, SOC-2, FISCAM, and NYDFS identifying root cause issues, and recommending risk-based remediations to improve an organization’s ... - Apr 15
... FISMA, NIST RMF, NIST CSF, NIST SP 800-53, ISO 27001, ISO 27002, CMS MARS-E 2.2, IRS Pub 1075, HITRUST, HIPAA, GDPR, SOC-2, FISCAM, and NYDFS identifying root cause issues, and recommending risk-based remediations to improve an organization’s ... - Apr 15
Data Entry Specialist
Northdale, FL, 33558
... Tampa, FL 33614 813-***-**** Enrollment Specialist ·Accomplishes daily enrollment/disenrollment operations, including application review, entering applications into Cardiff TeleForm Verifier system and submissions to CMS. Responsible for accuracy, ... - Apr 04
... Tampa, FL 33614 813-***-**** Enrollment Specialist ·Accomplishes daily enrollment/disenrollment operations, including application review, entering applications into Cardiff TeleForm Verifier system and submissions to CMS. Responsible for accuracy, ... - Apr 04
Privacy Officer Compliance
Clearwater, FL
... advise on Application and Interpretation of CMS Exclusion and Preclusion requirements for Medical UM contracts; support licensing for Corporate Compliance: PBM, UM, Dispensing Pharmacy licenses; support subpoena requests; support Client requests for ... - Apr 03
... advise on Application and Interpretation of CMS Exclusion and Preclusion requirements for Medical UM contracts; support licensing for Corporate Compliance: PBM, UM, Dispensing Pharmacy licenses; support subpoena requests; support Client requests for ... - Apr 03
C# Sql Server
Tampa, FL
... SKILLS C#, CSS, .NET, .Net Core, ASP.NET, JavaScript (Angular/React, Backbone, jQuery), HTML (Bootstrap, Bulma, Material), PHP, Strapi CMS Mobile Development Flutter and React Native. Research and analysis. MS SQL Server, My SQL, Oracle, Mongo. ... - Apr 01
... SKILLS C#, CSS, .NET, .Net Core, ASP.NET, JavaScript (Angular/React, Backbone, jQuery), HTML (Bootstrap, Bulma, Material), PHP, Strapi CMS Mobile Development Flutter and React Native. Research and analysis. MS SQL Server, My SQL, Oracle, Mongo. ... - Apr 01
Nurse Practitioner Registered
Tampa, FL
... Assisted in RAC audits maintaining CMS standards within the facility. Utilized interqual and Millimans for inpt stay reviews QI/ADON & PRN RN- Comprehensive Home Health (Tampa, FL) December 2008 – August 2010 • Program implementation, Chart review, ... - Mar 30
... Assisted in RAC audits maintaining CMS standards within the facility. Utilized interqual and Millimans for inpt stay reviews QI/ADON & PRN RN- Comprehensive Home Health (Tampa, FL) December 2008 – August 2010 • Program implementation, Chart review, ... - Mar 30
Team Lead Accounts Receivable
Tampa, FL
... ● Strong knowledge and experience of CMS 1500 and UB04 forms, Medical Terminology, and usage of HCPCS/Rev Codes, ICD-9, CPT, DX Codes, compiling denial letters, and identifying billing trends. ● Utilizing systems such as; Availity, to meet and ... - Mar 28
... ● Strong knowledge and experience of CMS 1500 and UB04 forms, Medical Terminology, and usage of HCPCS/Rev Codes, ICD-9, CPT, DX Codes, compiling denial letters, and identifying billing trends. ● Utilizing systems such as; Availity, to meet and ... - Mar 28
Data Entry Customer Service
Tampa, FL
... ANSWERED PHONES, PROCESSED AND APPROVED WORKER COMPENSATION CLAIMS ON HCFA 1500 AND UB92/ CMS-1500 AND CMS-1400, AUTHORIZED PRESCRIPTIONS WITH PHYSICIANS. LEASING CONSULTANT OFFICE UNTIL PROPERTY WAS SOLD - Tampa, FL March 2005 to May 2009 ... - Mar 24
... ANSWERED PHONES, PROCESSED AND APPROVED WORKER COMPENSATION CLAIMS ON HCFA 1500 AND UB92/ CMS-1500 AND CMS-1400, AUTHORIZED PRESCRIPTIONS WITH PHYSICIANS. LEASING CONSULTANT OFFICE UNTIL PROPERTY WAS SOLD - Tampa, FL March 2005 to May 2009 ... - Mar 24
Medical Claims High School
Clearwater, FL
... • Researched electronic provider dispute issues to determine the root cause of the dispute and re-process or adjust claim appropriately with established CMS regulatory guidelines. • Communicated and participated in daily calls with the client ... - Mar 16
... • Researched electronic provider dispute issues to determine the root cause of the dispute and re-process or adjust claim appropriately with established CMS regulatory guidelines. • Communicated and participated in daily calls with the client ... - Mar 16