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Riverview, FL
... •Assisted residents with resources for Medicaid Managed Care LTC, transportation and pharmacy prescriptions. •Assist residents and nursing department in developing a care plan which addresses the resident’s individual needs. Military Experience ...
- Feb 16
Tampa, FL
... Enrolled customers in various states into individual and Medicaid plans with 100% accuracy by researching procedure codes on fee schedules to determine if services are covered. Customer Service Representative EPIQ Systems Inc. Tampa, FL 07/2017 – 08 ...
- Jan 31
Riverview, FL
... Completed and updated Medicaid, Medicare, and Food Stamp application status for patients. Verified patient insurance using Availity. Communicated closely with the billing department regarding any financial discrepancies on patient charts. Conducted ...
- Jan 30
Wesley Chapel, FL
... I am in charge of the Medicaid and Medicare and Pediatrics centers. A total panel of 7,800 patients. I was able to reduce disenrollments to 3% from almost 5% before I started. I grew the Medicare center 20% since I acquired this clinic. • Monitors ...
- Jan 25
Tampa, FL
... October 2008-June 2015 Claims Benefit Specialist Aetna Health Insurance Tampa, FL • Processing Stateside, Medicaid and Medicare hospital claims; Review for coverage eligibility and identify discrepancies and collaborate with customers for resolution ...
- Jan 22
Tampa, FL
... Fully adept at interpreting and exceeding Federal, State and local expectations, as well as a respected expert in Medicare/Medicaid reimbursement protocols. Instrumental in delivering and implementing strategic plans/control structures within QAPI ...
- Jan 21
Tampa, FL
... • Worked with state regulators, Medicaid officials, and insurance companies with data analysis. Carmell Internet Services, San Diego, CA Jan 1998-Dec 2005 Collection Representative • Established close cooperation with the CFO to optimize its ...
- Jan 21
Tampa, FL
... Relevant Experience: Senior Associate in Test Mar 2021 - Oct 2023 Gainwell Technologies Tampa, FL Industry and Solutions: Medicaid Management, Managed Care Organizations, Human Services & Public Health, Providers, Pharmacy Solutions, System ...
- Jan 12
Tampa, FL
... entry it included inputting information from UB04 FORMS MRANS AND MAPS FORMS also figuring out the claim types for Texas Medicaid and Medicare Verizon Tech Coach Asurion January 2019 to May 2021 The job role required troubleshooting Verizon wireless ...
- Jan 11
Lutz, FL
... ·Adjusted compensable indeme ·Verifying Board Certifications, DEA, CSR, NPI, Practitioners Data Bank, Insurance, State and Federal OIG, Sam report for Medicare and Medicaid, Hospital privileging and onboarding process for new providers, Medicare OPT ...
- Jan 11