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Raleigh, NC
... Independently ● HIPPA Compliance ● EMR ● Insurance knowledge of Managed Care, Commercial Insurance, Workers Compensation, Medicare, Medicaid and Tricare Plans ● Insurance Authorizations ● Insurance Benefits ● Medical Terminology ● Review and resolve ...
- Jan 09
Raleigh, NC
... Raleigh, NC Patient Account Representative II Access online work queues, weekly reports and/or pools from various business systems to analyze outstanding Medicaid and Medicare accounts and determine actions necessary to resolve accounts receivable ...
- Jan 05
Durham, NC, 27701
... Courtney Jenkins page 2 EXPERIENCE CONTINUED Call Center, Customer Service Rep (Medicare Part D) January 2009 - July 2009 ACS-Inc. Durham, NC Enrolled Medicare recipients to open program or added per needs Provided detailed benefit information ...
- Jan 02
Apex, NC
... and item match the PWO per physician order *Assisted with processing patient orders, exchanges and returns *Followed all Medicare, Medicaid, HIPPA and private insurance regulations and requirements February 2019-August-2021 Teleperformance Remote ...
- Jan 02
Cary, NC
... Proficient in PBMs, Medicare Part D, and Medicaid rules and regulations, Medical Claims and Appeals combined with solid superior integrity and command of medical ethics. Excellent reputation for resolving problems and improving customer satisfaction ...
- 2023 Dec 15
Raleigh, NC
... ● Verified Physicians and Medicare information while following HIPPA guidelines.
- 2023 Dec 11
Durham, NC
... Enterprise Plus, Property Accountant, WCIS, Medical, Medicare, Managed Care Insurances, MS Word, MS Excel, MS Outlook, Quick Books, SAP, ADP, PeopleSoft, Reports, Share Point, & Patient Plus, Client Source, iTop, FileNet, View Shop & Lotus Notes
- 2023 Dec 08
Durham, NC
... (Remote) •Maintained knowledge base on changes to reimbursement, including but not limited to specific managed care contracts, Medicare/Medicaid guidelines, and third-party insurance payers. •Initiated appropriately timed correspondence and ...
- 2023 Dec 08
Durham, NC
... Disease Processes Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare EOBs Payment Posting Revenue Cycle Management Scheduling Meaningful Use ...
- 2023 Dec 05
Raleigh, NC
... CPT/RUC REPRESENTATIVE Physician and Payor Credentialing Medicare 855A/B/I/R/O/S Enrollment Expert States of VA, MD, DC REVENUE CYCLE PROJECT MANAGER CONSULTANT, PROJECT LEAD 01/2007 to 06/2007 Mergis Group, AGA Institute Bethesda, MD • Leads & ...
- 2023 Dec 01