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Investigator or Fraud or Medicare resumes in Columbus, OH, 43215

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Purchasing Agent Customer Service

Columbus, OH
... Monitored expenditures to identify potential fraud, waste and abuse based on procurement history Provided written data and/or documentation with explanations for rejection and the corrective action required of customer when requirements are lacking ... - Sep 23

Customer Service Support

Columbus, OH, 43215
... Verified Medicare and Medicaid hospice benefits. Completed Admissions consent paperwork as needed. Process AN report from VITAS Admissions Representatives and schedule appointments. Finalized discharge plans and facilitate home delivery equipment ... - Sep 18

Service Representative Health Care

Columbus, OH
... Molina Insurance, Columbus, OH 8/2014-4/2021 Member Service Representative 1 As a customer service representative, passed all mandatory training at 100% accuracy to Meet state Medicaid/Medicare mandates. Worked with peers and other departments to ... - Sep 11

Customer Service Call Center

Columbus, OH
... Aetna May 2017 to February 2019 New Albany, OH CSR Took Inbound calls from Medicare / Medicare Advantage members while taking ownership of the members concerns all the way through to resolution no matter where that might take us. Use problem solving ... - Sep 08

Administrative Assistant Customer Service

Columbus, OH
... 2021 Fraud Investigator- Alliance Data Systems-Westerville, Ohio Identified fraudulent transactions by reviewing information using multiple systems and outside sources. Tracked financial crimes trends, relevant regulations and compliance standards ... - Sep 07

Accounts Receivable Analyst

Columbus, OH
... June 2016 • Home health Insurance billing for Ohio and Indiana • Extensive account follow- up with commercial payers and Medicare carriers • Review and ensure clinical documentation adhere to CMS guidelines for billing purposes • Communicate coding ... - Sep 03

Behavioral Health Community Services

Columbus, OH
... If someone gets health coverage through an employer, COBRA, Medicare, VA Health or another source If someone is incarcerated ... Also, if you knowingly provide misleading information you may be disqualified from the program and prosecuted for fraud. Use ... - Aug 30

Community Engagement Customer Service

Columbus, OH
... African American Male Youth Development Regional Symposium, Columbus, Ohio 2003 Principal Investigator and Public Relations Consultant • Planned and coordinated conference to provide information and resources from a variety of communities and major ... - Aug 12

Data Analyst United States

Columbus, OH
... EXPERIENCE DATA ANALYST/ DEVELOPER- TATA CONSULTANCY SERVICES (AIG) HOUSTON, TX — JAN 2022-CURRENT • Lead teams of data warehouse and analysts which owns and supports DWH, Reporting and BI and Fraud Analytics applications in collecting, processing, ... - Aug 11

Customer Service Data Entry

Columbus, OH
... ● Strong research, fraud mitigation and documentation development skills. ● Insurance, and/or financial services ● Applies information learned to advance or enhance the compliance program. ● Responsible for providing prompt, efficient service for ... - Aug 06
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