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
Marlborough, MA
... Converted and verified Auto Group Loaded file (Groups, Subgroups, Class, 270-Eligibility Enquiry,271- Eligibility Response, 835-Payment,837-Claim, Upay file) data with application data. UPMC benefit Plans(76) verification fully automated. Rolling ...
- Jun 05
Edison, NJ
... NJ 11/2023 - Current Business Analyst Project: Comprehensive Claims Processing System Developed a robust claims processing system to streamline claim adjudication, reduce processing time, and enhance payment accuracy for over 500,000 members. ...
- Jun 05
McAllen, TX
... Led efforts to analyze and document business processes, identifying areas of improvement in claims submission and eligibility inquiries, resulting in a 15% reduction in claim processing time. Collaborated with development teams to create data models ...
- Jun 05
Erwin, TN
... • Installed the Hunkler integrated label system into the Health Claim form manufacturing process, using Hunkler integrated labels with hot melt and cold glue processes. Letterhead with attached mailing labels, attraction and theme park integrated ...
- Jun 05
Arlington, VA, 22201
... The platform supported multiple claim types, integrated with third-party services for document verification and payments, and ensured compliance. Azure was used for deployment, identity management, and cloud services. Reporting dashboards were ...
- Jun 05
Hartford, CT
... Conducted loss prevention investigations and collaborated with insurance agencies on claim submittals. Compiled OSHA injury matrix. Participated in R-3 Kaizen Continuous Improvement programs. True Blue Environment, Wallingford, CT June 2008-Aug. ...
- Jun 05
Memphis, TN
... Accurately document files Verbal and written contact with Pharmaceuticals, Physicians, Pharmacists, and Patients to resolve claim issues Resolved unprocessed claims for payment FedEx Corporation Customer Service Operations Manager Houston, Texas ...
- Jun 05
Warrenton, VA
... Review claim denials from Patient Accounts through the EEC process. Omega Healthcare Management Services, Boca Raton, Florida Physician Coder- Remote, Part-time 5/2022 – April 2023 Understand the client requirements for certified medical coders and ...
- Jun 05
Detroit, MI
... • Menu selection and ordering of food and beverages staff meetings UPS – Great Lakes District 12/1997 – 02/2012 (40hrs a week) Livonia, MI Administrative Assistant III (Facilities Function) • Accounts payable – Invoice processing (Oracle) • Contract ...
- Jun 05