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Winter Springs, FL
... Responsibilities include verifying provider credentials for billing,obtaining EDI agreements for Medicare, BCBS, and various commercial insurances. Verification of subscriber eligibility for healthcare insurance benefits and coverage. Setup of ...
- 2021 Jul 01
Lake Mary, FL
... DB2 Database Triggers, DB2 Tables/Views, Multi-tier architecture, SOA, YAJL, HTTPAPI, JSON, XML, Commitment Control, EDI, IBM API’s, FTP, SDLC (Soft Ware Development Life Cycle) Junior Skills: JavaScript, HTML, CSS Tools: SEU, DBU, PDM, FEU, ...
- 2021 Jun 03
Orange City, FL
... EDI 820 (Payment Order/Remittance), 834 (Benefit Enrollment), and 837 (Health Care Claims). WellPoint involved workstreams included Facets, ISG, WGS, WMDS, NASCO, MMIS, EMR, EDWard, IVR, and ITS among others. Hardware platforms include Mainframe, ...
- 2021 Apr 03
Lake Mary, FL
... (ix) Websphere MQ Series, EDI X-12, FTP, TCP/IP Socket Layer Programming, FFM, PCML 15 yrs. (x) Agile, Waterfall, SDLC, HLE, Dev, QA, UAT, & Prod support, Defect resolution, HP Quality Center, Remedy Heat Tickets 20 yrs. (xi) Software Engineering, ...
- 2020 Nov 09
Orlando, FL
... December 2016 to December 2017- Director of Enrollment – Allstate Benefits ●Responsible for area that receives, converts, formats and processes open enrollment and perpetual voluntary benefit files (EDI). ●Responsible for work with accounts, brokers ...
- 2020 Mar 27
Winter Springs, FL
... Technical Skills iSeries RPG III and IV, ILE (Binding and Service Programs), Embedded SQL, Free Format RPG, COBOL, CL, DB2, Subfiles, RESTful and SOAP Web Services, CGIDEV2, PDM,SDA, RLU, DBU, Turnover, EDI, Acom Solutions, TL Ashford, Hawkeye, SQL ...
- 2020 Mar 19
Ocoee, FL
... Core Competencies * Claim Investigation * Drug Utilization Reviews * MSA allocations * Timely Payment of Benefits * EDI Compliance * Excess Communication * Resolution Plans * Litigation Management * Medical Terminology * Reserving * CAT claims * ...
- 2020 Feb 17
Orlando, FL
... (Agile / Scrum / SAFe) -Vendor and contract negotiations, product implementation including vendor management, EDI, MDM, Corporate Communications, and interface with SAP - Payroll for implementation of a product solution where employees can use their ...
- 2019 Nov 13
Orlando, FL
... Technical Delphi, Visual Basic, GUI and Object Oriented Programming Relational SQL Databases, SQL Server, Oracle, My SQL and MS Access, Web Development, EDI (Electronic Data Interchange), VBScript, HTML, ASP, DHTML, CSS, PHP, Apache, Internet ...
- 2019 Jul 03
Winter Park, FL
... Business Analyst/Project Manager 01/2008 – 08/2011 Project management and system analysis to deliver pharmacy claims and payment processing system upgrades employing agile/scrum delivery methodology HIPAA federally mandated ANSI EDI standard 835 ...
- 2019 Apr 15