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Columbus, OH
... Charged and made determinations to pay, deny, and adjust in-claim medical charges associated with pre-Health Partnership (HPP) provider billing, Managed Care Organization (MCO) billing, settlement claims, and non-routine billing for non-HPP business ...
- 2024 Jul 21
Powell, OH
... Oncology Coordinator OSU MEDICAL CENTER November 2012 to April 2017 Scheduled new and returning patient office visits and ... diagnostic tests and scheduled, posted payments, Filed insurance claims and followed up with insurance companies for payment ...
- 2024 Jul 21
Columbus, OH
... Sedgwick (Customer Service Rep)New Albany, OH September 2019 to November 2019 Obligations • Created new FMLA, personal or family leave claims. • Assured employees understood the time frames they had to get the information needed for their claim to ...
- 2024 Jul 19
Columbus, OH
... Assessed medical needs of the patient by consulting with physicians or nurses. Created a safe environment for the patient by adhering to safety standards. Encouraged patients to follow prescribed treatment plans and monitored progress. Collaborated ...
- 2024 Jul 18
Columbus, OH
... use of plan, formulary, premiums and status of orders and claims or inquiries • Ask appropriate questions and listen ... • Cold Calling • Upselling • Insurance Verification • POS • Medical Scheduling • RF Scanner • Order Picking • Order Picker • ...
- 2024 Jul 18
Columbus, OH, 43219
... Processing of medical claims for all lines business Medicare, Medicaid, MMP and Marketplace. Resolves and prepares written response to incoming provider reconsideration requests relating to claims payment and requests for claim adjustments or to ...
- 2024 Jul 17
Columbus, OH
... while maintaining the integrity of contractual incentives and obligations Negotiated aggressive pricing for the General Medical and Pharmacy Portfolios driving OhioHealth Supply cost to the Top 25th percentile of national best practice benchmarks ...
- 2024 Jul 17
Dublin, OH
... Assisted with multiple clerical duties including scanning and indexing medical documents. Handled various telephone calls from patients. Firstsource Solutions 09/21/2020-10/20/2022 Patient Financial Advocate Conducted face-to-face interviews with ...
- 2024 Jul 17
Columbus, OH
... Fullstack Developer .Net Developer Project Description: As a .Net Developer I am responsible of providing an efficient and user-friendly platform for customers, and administrators to manage insurance policies, claims, and customer interactions in ...
- 2024 Jul 17
Columbus, OH
... 2017 – Present Utilization Management Nurse: ●Reviews patient medical records and utilize clinical and regulatory knowledge and skills as well as knowledge of payer requirements to determine why cases are denied and whether an appeal is required. ...
- 2024 Jul 17