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Columbus, OH
... COLUMBUS, OH Higher Education Institution, Office of Human Resources Benefits Specialist, February 2008 to October 2014 Coordinated enrollment for seven HR and university benefit programs for faculty, staff, students, and affiliate physician groups. ...
- Aug 12
Columbus, OH, 43215
... Demonstrated expertise in fraud detection, policy compliance, customer engagement, and collaborative investigations. Skilled in handling complex workers' compensation cases across multiple states, ensuring regulatory compliance and fair outcomes. ...
- Aug 11
Columbus, OH
... injury claims • Reviewed attending physician statements and treatment plans • Coordinated behavioral health referrals and tracked recovery for RTW efforts • Communicated with providers on medical status updates and claimant RTW expectations U.S. ...
- Aug 10
Columbus, OH
... Integrated FHIR and HL7 data standards for seamless interoperability between analytics systems and ProMedica’s EMR platforms ... and fraud detection using scikit-learn, TensorFlow, and XGBoost, enhancing risk assessment and customer segmentation. ...
- Aug 04
Columbus, OH
... • Preparing patients for examination, assisting the physician during exams, and Transmitting prescription refills as directed. • Preparing and administering medications as directed by a physician. PHARMACY TECHNICIAN Kroger, Columbus, OH / Oct 2019 ...
- Jul 30
Columbus, OH
... (Las Vegas, NV)November 2016 - August 2019 ● Concierge practice is a membership in which doctors provide medical care to patients generally providing 24/7 access, a cell phone number to connect directly with their physician, same-day appointments, ...
- Jul 27
Columbus, OH
... • Conducted financial investigations to assess fraud claims and resolve customer disputes under Reg E guidelines. • Coordinated with legal and compliance teams to maintain audit trails and respond to regulatory requests. • Trip Specialist (Customer ...
- Jul 24
Columbus, OH
... Customer Service Representative FIS Global - Reliance Trust Company October 2020 to April 2021 Assited banks with claims for the fraud and disputes department Assisted in fraud prevention efforts by closely monitoring customer accounts and reporting ...
- Jul 15
Columbus, OH
... ●Faxes medical information to physician and Insurance carriers as requested. October 2015 - April 2019 Hope House - Alcohol and Substance Abuse Services (Respite Worker) ●Assisting adolescence in rehab. ●Setup reading groups and arts and craft ...
- Jul 10
Columbus, OH
... OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF INSURANCE FRAUD AND WILL BE PROSECUTED. ... Outpatient Benefi ts1 Inpatient Benefi ts Physician Offi ce Visit (Virtual or In-Person) $100 per day Standard Care $300 per ...
- Jul 06