Orange Township, OH, 43035
... Validated backend claim processing accuracy, data movement, and compliance with healthcare regulations across platforms. Developed and executed functional and integration test cases for QSTAR and CPW, UHG’s proprietary front-end interfaces to the ...
- Jun 05
Brooklyn, NY
... Pharmacology/Injection Clinical Chemistries HIPAA Compliance EMR/HER Billing/Invoice Microsoft Word Venipuncture Insurance Claim Epic system Specimen Collection Basic Lab tests Patients Histories Insurance Verification Set-up Procedure room CPR and ...
- Jun 05
Prior Lake, MN
... Benefit Strategy & Delivery Core Operations: Claim Product & Data • Product Strategy & Delivery owner for the Benefit Validation (BenCheck) service that is utilized by Clinical Utilization Management Operations, Provider Portal, and the Benefit Hub. ...
- Jun 05
Dearborn, MI
... Buffalo State College, Buffalo, NY, MS in Computer Information Systems Professional Experiences: Trinity Healthcare System, Livonia, Michigan 03/2017 - Present Senior Project Manager Managing the following large number of projects simultaneously. ...
- Jun 05
Port Richey, FL, 34668
... Strong background in claim processing and claim adjustments. Experience Sr. Provider Relations Advocate United Healthcare – Pittsburgh, PA 03/2010 to Present In my current role of Provider Relations Advocate I am accountable for the full range of ...
- Jun 05
Lithonia, GA
... Research, analyze, and review claim errors and rejections and make application corrections. Ensure proper claim submission and payment through review and correction of claim edits, errors and denials. Maintain required knowledge of payer updates and ...
- Jun 05
Edmond, OK
... Claims Representative Farmers Insurance-Oklahoma City, OK September 2014 to January 2016 Responsibilities I assisted customers with claim inquiries. I set up rental reservations when needed. Accomplishments I provided excellent customer service. ...
- Jun 05
Dallas, TX
... Office Supervisor, ICD-9 Coder Oct 1990-Dec 1992 • Follow-up on personal & insurance payments; Transcription as needed • Secured contracts between hospital & doctors within the corporation • Payroll processing; spot audits of accounts; instrumental ...
- Jun 05
San Antonio, TX
... Performed all facets of post-award contract administration, including but not limited to contract revisions, amendments, assignments, negotiations and claim resolutions. Responsible for overseeing contractual requirements, general terms and ...
- Jun 05
DeSoto, TX
... Education Experience Duncanville High School High School Diploma 1998 Payment Posting Representative Trinity Health Systems Livonia MI June 2023 - Present ● Post patient and insurance payments, write-off, charge adjustments, deductibles, co-pay and ...
- Jun 05