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Aubrey, TX
... Claim Adjusters Licences : Fl (W767087), TX (2699817), LA (953454), OK (300*******) and AL (300*******) CERTIFICATES: State Farm Policy certification, State Farm Estimatics,State Farm Auto of AARP, CPR and First Aid Certificates, Medicaid, Medicare ...
- 2023 Nov 09
McKinney, TX
... ●Responsible for all billing processes, including claims processing, claims research, and adjustment for Commercial, Tricare, Medicare, Medicaid, and Medicare Advantage plans. ●Increased upfront collections by over 100%. ●Strategically organized the ...
- 2023 Nov 09
Irving, TX
... · Source, and Fill positions such as Financial Team Lead, Written Correspondence Clerk, Healthcare Claims Operations Mgr, Medicaid Operations Lead, Provider Field Rep, EDI team Lead, EDO Call Center Agent, EDI Help Desk Rep, Sr Cus Support Rep, Call ...
- 2023 Nov 08
Flower Mound, TX, 75028
... Reference Files 2003 – 2006 State Government Income Tax 1998 – 2002 Industry Railroad Reference Files 1997 – 1998 Medicaid 1995 – 1997 Retail Banking 1995 – 1995 International Banking / Factoring / Re-invoicing 1994 – 1995 International Money ...
- 2023 Oct 31
Plano, TX
... TECHNICAL SKILLS E-Clinicals I Availity I Authorize.net, I Paragon I Medicaid Programs I Sage/Mas 90 Software I QuickBooks (Pro & Online) I General ledger accounting skills and periodic I Microsoft Office Suite I APS FUNCTIONAL SKILLS Financial ...
- 2023 Oct 03
Garland, TX
... Compliance Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding Medical Billing Medical Office Medical Administrative Patient ...
- 2023 Sep 30
Irving, TX
... Nurse ● Performed patient assessments, AIMS, TIMA scales ● Phone triage, conducted prior authorizations of medication thru Medicaid,Medicare and Northstar ● Performed medication injections and distributed medication as ordered ● Assisted Doctors ...
- 2023 Sep 27
Rowlett, TX
... Successfully completed projects such as CMS Compliance Mandates, Medicare, Medicaid, Explanation of Benefits (EOB), Transition Fill (TF), CET file changes, Prescription Drug Event (PDE) and collaborated with internal and external teams to implement ...
- 2023 Sep 22
Irving, TX
... Started as tester and currently in the role of test manager for CVS in PBM (Pharmacy Benefit Management) Manage cases for 31 clients across all line of businesses (MEDD, COMMERICAL, EXCHANGE, MEDICAID) Strong understanding of the plan benefits ...
- 2023 Sep 19
Frisco, TX
... Obtained and verified patient financial information, eligibility for Medicaid and kidney healthcare. Assisted patients socially and emotionally to adapt to their hospital environment. August 1978 to June 1980 The Children’s Place Infant Center, ...
- 2023 Sep 16