| Resume alert | Resumes 1 - 10 of 785 |
Customer Service Data Entry
Pembroke Pines, FL
... Customer Service Advocate UNITED HEALTH GROUP INSURANCE - Miami, FL June 2021 to October 2021 Answered calls from Medicare members . Handle complex issues, assist member with all type of appointment,issues, complaints and verify benefit info and ... - Apr 18
... Customer Service Advocate UNITED HEALTH GROUP INSURANCE - Miami, FL June 2021 to October 2021 Answered calls from Medicare members . Handle complex issues, assist member with all type of appointment,issues, complaints and verify benefit info and ... - Apr 18
Scrum Master Business Analyst
Fort Lauderdale, FL, 33301
... and changes Altegra Healthcare, Miami, Fl April, 2013 –February, 2014 Sr Business Analyst – Consultant- Healthcare – Medicare Insurance Hybrid Business Analyst/Project Manager role while discovery and completing management tasks Developed detail ... - Apr 18
... and changes Altegra Healthcare, Miami, Fl April, 2013 –February, 2014 Sr Business Analyst – Consultant- Healthcare – Medicare Insurance Hybrid Business Analyst/Project Manager role while discovery and completing management tasks Developed detail ... - Apr 18
Human Resources Customer Service
Tamarac, FL
... Bachelor of Arts in Theology, Jamaica Theological Seminary, Kingston, Jamaica 2004 Copy Available Michael Clarke Skills: Medicare & Medicaid Reimbursements Customer service Provider Data Credentialing Contract Negotiation Provider Enrollment ... - Apr 15
... Bachelor of Arts in Theology, Jamaica Theological Seminary, Kingston, Jamaica 2004 Copy Available Michael Clarke Skills: Medicare & Medicaid Reimbursements Customer service Provider Data Credentialing Contract Negotiation Provider Enrollment ... - Apr 15
Medical Center Health Agent
Hollywood, FL
... Medicare will only pay for the care that is acceptable and needed under section 19862(a)(1) of the Medicare Law. By signing below, you certify the facts you have given to Sanitas for payment under Tittle XVIII and XIX of the Social Security Act are ... - Apr 10
... Medicare will only pay for the care that is acceptable and needed under section 19862(a)(1) of the Medicare Law. By signing below, you certify the facts you have given to Sanitas for payment under Tittle XVIII and XIX of the Social Security Act are ... - Apr 10
Customer service Driver
Fort Lauderdale, FL
... Adhered to Centers for Medicaid and Medicare quality standards with HIPAA & PHI/EPHI. Excelled in one call resolutions within office guidelines and state requirements under Florida’s guidelines. Interviewed and trained 10 employees. Work Experience ... - Apr 10
... Adhered to Centers for Medicaid and Medicare quality standards with HIPAA & PHI/EPHI. Excelled in one call resolutions within office guidelines and state requirements under Florida’s guidelines. Interviewed and trained 10 employees. Work Experience ... - Apr 10
Data Entry Quality Assurance
Coral Springs, FL
... Assurance and Order Entry Apr 2014 - Sep 2015 • Scrutinized billing codes, invoices, and order placements to ensure accuracy, while managing incomplete data and ensuring its completion, in adherence with Medicare and private insurance requirements. ... - Apr 03
... Assurance and Order Entry Apr 2014 - Sep 2015 • Scrutinized billing codes, invoices, and order placements to ensure accuracy, while managing incomplete data and ensuring its completion, in adherence with Medicare and private insurance requirements. ... - Apr 03
Business Systems Analysis
Tamarac, FL
... Updated benefit configurations for Medicaid and Medicare members during the QNXT/administrator migration. Validated deductible and out-of-pocket maximums for accuracy. Conducted thorough analyses for capitation contracts, determining configurations ... - Apr 03
... Updated benefit configurations for Medicaid and Medicare members during the QNXT/administrator migration. Validated deductible and out-of-pocket maximums for accuracy. Conducted thorough analyses for capitation contracts, determining configurations ... - Apr 03
Data Entry Customer Service
Miami, FL
... Office Suite - Call center (inbound/outbound calling) & TeleSales - Data Entry & Appointment scheduling - Commercial insurance billing & Medicare/Medicaid - Collections Professional Experience: CVS (Temporary Remote position) Member Advocate Nov. ... - Apr 01
... Office Suite - Call center (inbound/outbound calling) & TeleSales - Data Entry & Appointment scheduling - Commercial insurance billing & Medicare/Medicaid - Collections Professional Experience: CVS (Temporary Remote position) Member Advocate Nov. ... - Apr 01
Patient Care Internal Medicine
Fort Lauderdale, FL
... Current o Responsible for direct OUTPATIENT care, same-day URGENT care, and INPATIENT care of the group’s members primarily Medicare HMO full risk patients -Physician mentor for new onboarding physicians at Optum -Peer review committee ad hoc member ... - Mar 21
... Current o Responsible for direct OUTPATIENT care, same-day URGENT care, and INPATIENT care of the group’s members primarily Medicare HMO full risk patients -Physician mentor for new onboarding physicians at Optum -Peer review committee ad hoc member ... - Mar 21
Patient Care Pharmacy Manager
Miami, FL
... Experience with HEDIS, Stars, Medicare Quality metrics, Quality improvement and Auditing. Familiar with pharmacy adjudication systems (Utilization Management) such as Prior Authorizations, Lost medications, and Vacation supplies. Conduct the ... - Mar 18
... Experience with HEDIS, Stars, Medicare Quality metrics, Quality improvement and Auditing. Familiar with pharmacy adjudication systems (Utilization Management) such as Prior Authorizations, Lost medications, and Vacation supplies. Conduct the ... - Mar 18