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Hyderabad, Telangana, India
... I have updated a Macro through which we can get the 835 Raw files into an excel which will also map the comments for each bill and through which we can reduce manual work of the agents and the audits can also be automated for Medicare remits on all ...
- 2017 Oct 03
Hyderabad, Telangana, India
... **Worked for UNIVERSAL MEDICARE LTD as a ‘PSR’ from March’ 2002 to July’2006, H.Q: HYDERABAD JOB PROFILE: *Regularly Monitoring the sales and inventory levels and achieving the team targeted sales. *Team skill development for better productivity. ...
- 2017 Jul 30
Hyderabad, Telangana, India
... involving Medicaid/Medicare & SSB(state sponsored business),external pricing vendors like NetworX for GA/VA claims for both Professional and institutional pricing and dealt with HCPCS/MODIFIERS/ICDA Diagnostic /procedure codes(ICD9&10) / Revenue ...
- 2017 Jul 02
Secunderabad, Telangana, India
... Molina Health Care, Herndon, VA May 2013 – Nov 2014 Sr.Java/J2EE Developer Description: Molina Healthcare offers Medicare advantage plans designed to meet the needs of individuals with Medicare or both Medicaid and Medicare coverage. Played the role ...
- 2017 Jun 29
Hyderabad, Telangana, India
... Experience with HIPAA compliance and involved in upgradation of HIPAA 4010 transaction to HIPAA 5010 in healthcare with strong understanding of Medicaid and Medicare rules and claim adjudication. Strong knowledge and understanding of ICD-9 and ICD ...
- 2017 May 25
Hyderabad, Telangana, India
... Extensive knowledge of Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process. Effective in managing and executing multiple tasks and assignments ahead of schedule Created Use Cases, work flows, screen shots and Power Point ...
- 2017 Apr 07
Hyderabad, Telangana, India
... Developed and consumed Web services for getting health insurance premiumquotes, Medicare Supplement Rate quotes, county codes etc. Used ADO.NET objects such as Data Reader, Dataset and Data Adapter for Consistentaccess to SQL Server data sources. ...
- 2017 Mar 10
Hyderabad, Telangana, India
... Identifiers Rule (NPI) Good understanding of Health Insurance Programs (Medicaid, Medicare Part A, Part B, Part C, Part D) and Managed Care Programs (HMO, PPO, POS), with expertise in HIPAA transactions and paper claim forms (CMS 1500, UB 04). ...
- 2017 Feb 14
Secunderabad, Telangana, India
... ETL Developer Endo is a leading health provider company in Malvern committed to help Medicare and Medicaid Beneficiaries. The goal of this project is to enable access to business-determined encounter-related attributes and associated code sets in ...
- 2017 Feb 13
Hyderabad, Telangana, India
... SoapUI, QC and Oracle CMS MD USA July 2012-Sept 2013 QA/Automation Tester The CMS Enterprise is a gateway being offered to allow the public to access a number of systems related to Medicare Advantage, Prescription Drug, and other CMS programs. ...
- 2017 Jan 25