| Resume alert | Resumes 1 - 10 of 372 |
North Carolina Lead Auditor
Knightdale, NC
... Department of Justice – Medicaid Investigation Division, Raleigh, NC 2011 – Present Medicaid Financial Investigator Supervisor (Full-Time) (40Hrs/wk) Spearhead team of financial investigators in comprehensive analysis and investigation of intricate ... - Apr 18
... Department of Justice – Medicaid Investigation Division, Raleigh, NC 2011 – Present Medicaid Financial Investigator Supervisor (Full-Time) (40Hrs/wk) Spearhead team of financial investigators in comprehensive analysis and investigation of intricate ... - Apr 18
Customer Service Data Entry
Raleigh, NC
... RTI Raleigh, NC Recorded payments for patient visit dates and services Entered ICD-9, I CD-10, CPT4, HCPCS codes for dates of services for current and previous years Reimbursement for all insurance carriers including Medicaid, Medicare and Tricare. ... - Apr 18
... RTI Raleigh, NC Recorded payments for patient visit dates and services Entered ICD-9, I CD-10, CPT4, HCPCS codes for dates of services for current and previous years Reimbursement for all insurance carriers including Medicaid, Medicare and Tricare. ... - Apr 18
Case Manager Program Specialist
Wake Forest, NC, 27587
... calls to payers to obtain benefits • Close current cases • Obtain MI for insurance claim • Calling payers for Medicare, Medicaid, other payers • Faxing PA to providers • Obtaining benefits for Data Check • Placing cases in payer delay and following ... - Apr 16
... calls to payers to obtain benefits • Close current cases • Obtain MI for insurance claim • Calling payers for Medicare, Medicaid, other payers • Faxing PA to providers • Obtaining benefits for Data Check • Placing cases in payer delay and following ... - Apr 16
Software Development Quality Assurance
Raleigh, NC, 27603
... IA Project: QUIES - jRaven Description of the project Vangent is a General Dynamics company, which is main vendor for Medicare, Medicaid and Military applications, provides a very high quality services to government of United States of America. ... - Apr 11
... IA Project: QUIES - jRaven Description of the project Vangent is a General Dynamics company, which is main vendor for Medicare, Medicaid and Military applications, provides a very high quality services to government of United States of America. ... - Apr 11
Data Management Clinical
Central Park, NC, 27701
... Experienced with working with Medicaid data. Experienced with communicating and working with individuals and teams across multiple levels. Created the PROC GENMOD macro to use the SAS PROC GENMOD and the SCATPLOTUL Macro to produce a scatterplot ... - Apr 10
... Experienced with working with Medicaid data. Experienced with communicating and working with individuals and teams across multiple levels. Created the PROC GENMOD macro to use the SAS PROC GENMOD and the SCATPLOTUL Macro to produce a scatterplot ... - Apr 10
Prior Authorization Office Administrator
Central Park, NC, 27701
... XP Microsoft Office 2000 Microsoft Office 1997 MS Word MS Access MS Excel, Internet Explorer Outlook Outlook Express PowerPoint SLIQ Host on Demand Claims Inventory System AIS Power MHS Macess Networx COB, Medicaid CPT HCPC Codes Facets Maestro Car - Apr 08
... XP Microsoft Office 2000 Microsoft Office 1997 MS Word MS Access MS Excel, Internet Explorer Outlook Outlook Express PowerPoint SLIQ Host on Demand Claims Inventory System AIS Power MHS Macess Networx COB, Medicaid CPT HCPC Codes Facets Maestro Car - Apr 08
Health System Data Entry
Durham, NC
... Checking for Carolina access number to Medicaid cases. Duke Health System April 2003 To December 2003 Coding Denial Representative Hospital Insurance Team Identify and define appropriate CPT codes for existing and new services. Consult with advising ... - Apr 02
... Checking for Carolina access number to Medicaid cases. Duke Health System April 2003 To December 2003 Coding Denial Representative Hospital Insurance Team Identify and define appropriate CPT codes for existing and new services. Consult with advising ... - Apr 02
Scrum Master Health Care
Rolesville, NC, 27571
... •Developed Curam classes and interfaces, which processed payment by Medicaid based on services provided by health providers and developed functionality that involved Streamlined Medicaid policies. •Executed batch jobs that processed invoices for ... - Mar 31
... •Developed Curam classes and interfaces, which processed payment by Medicaid based on services provided by health providers and developed functionality that involved Streamlined Medicaid policies. •Executed batch jobs that processed invoices for ... - Mar 31
Qa Analyst Software Development
Cary, NC
... About 5 years of experience in Medicaid domain. Experienced in different phases of Software Development Life Cycle (SDLC) from investigation of initial requirements through analysis, design, development, and management of successful software ... - Mar 28
... About 5 years of experience in Medicaid domain. Experienced in different phases of Software Development Life Cycle (SDLC) from investigation of initial requirements through analysis, design, development, and management of successful software ... - Mar 28
Scrum Master Product Owner
Apex, NC
... Claim Transactions and Billing Transactions – created flows for adequate matching of claims Performed data mapping by matching the billing file and EDI claim file record claims received from Medicare and Medicaid agencies. Conducted JAD sessions ... - Mar 19
... Claim Transactions and Billing Transactions – created flows for adequate matching of claims Performed data mapping by matching the billing file and EDI claim file record claims received from Medicare and Medicaid agencies. Conducted JAD sessions ... - Mar 19