| Resume alert | Resumes 41 - 50 of 73 |
Customer Service Medical
Colorado Springs, CO
... Experience with CMS 1500 and CMS 1450 (UB-04) Claim Forms and Claims Appeal Process, Insurance Billing Procedures and Verification for Medicare, Medicaid and TRICARE, Managed Care (HMO, PPO, POS). Strong working knowledge of Procedure and Diagnosis ... - 2017 May 02
... Experience with CMS 1500 and CMS 1450 (UB-04) Claim Forms and Claims Appeal Process, Insurance Billing Procedures and Verification for Medicare, Medicaid and TRICARE, Managed Care (HMO, PPO, POS). Strong working knowledge of Procedure and Diagnosis ... - 2017 May 02
Manager Home Health
Colorado Springs, CO
... Provided the necessary liaison services with physicians, pharmacies and family members involved with each client also provided the necessary documentation to provide for payer compliance as salaried manager with a Medicare, Colorado Medicaid, and ... - 2017 Jan 17
... Provided the necessary liaison services with physicians, pharmacies and family members involved with each client also provided the necessary documentation to provide for payer compliance as salaried manager with a Medicare, Colorado Medicaid, and ... - 2017 Jan 17
Registered Nurse, Consultation, Education, Utilization Management
Colorado Springs, CO
... Solid experience in auditing charts and providing review of numerous records for ADR’s and appeals processes, ensuring compliance with Medicare regulations. Developed numerous education programs and tools to aid clinical staff in developing solid ... - 2017 Jan 08
... Solid experience in auditing charts and providing review of numerous records for ADR’s and appeals processes, ensuring compliance with Medicare regulations. Developed numerous education programs and tools to aid clinical staff in developing solid ... - 2017 Jan 08
HEDIS RNClinical Reviewer
Colorado Springs, CO
... Knowledge of ICD-9/ICD-10 coding, cpt coding, Medicare, Radiology pre-authorizations for 40+ insurance vendors used daily as well as participation in performance improvement via quarterly inter-rater testing modules and QA evaluations of written and ... - 2016 Nov 23
... Knowledge of ICD-9/ICD-10 coding, cpt coding, Medicare, Radiology pre-authorizations for 40+ insurance vendors used daily as well as participation in performance improvement via quarterly inter-rater testing modules and QA evaluations of written and ... - 2016 Nov 23
Human Resources Resource
Colorado Springs, CO
... Proven excellence in business development - 3 Pharmacy startups from due diligence, site selection and setup, and recruitment through attainment of Medicare licensure and accreditation. Accreditation certification awarded during initial survey. ... - 2016 Aug 21
... Proven excellence in business development - 3 Pharmacy startups from due diligence, site selection and setup, and recruitment through attainment of Medicare licensure and accreditation. Accreditation certification awarded during initial survey. ... - 2016 Aug 21
Sales Manager
Colorado Springs, CO
... May 5, 1982 to Current Accident & Health, Health Maintenance, and Life License #: Colorado 37416 UnitedHealthCare AARP Medicare Complete HMO, Prescription Drug Plans, Medicare Supplement Plans and Advantage Plans with RX Plan Blue Advantage For ... - 2016 May 01
... May 5, 1982 to Current Accident & Health, Health Maintenance, and Life License #: Colorado 37416 UnitedHealthCare AARP Medicare Complete HMO, Prescription Drug Plans, Medicare Supplement Plans and Advantage Plans with RX Plan Blue Advantage For ... - 2016 May 01
Health Care Customer Service
Colorado Springs, CO
... Increased Medicare census from 2 to 12 within a two-week time frame. Reduced annual survey citations from 25 to 6 Ds and an E. Reduced Operating Expenses: Jun 13, 2011, ($173,860) to Dec 31, 2011, $266K = $439,860 swing in 6 months. Reduced Life ... - 2016 Jan 30
... Increased Medicare census from 2 to 12 within a two-week time frame. Reduced annual survey citations from 25 to 6 Ds and an E. Reduced Operating Expenses: Jun 13, 2011, ($173,860) to Dec 31, 2011, $266K = $439,860 swing in 6 months. Reduced Life ... - 2016 Jan 30
Microsoft Office Management
Colorado Springs, CO
... Colorado Life and Health, 2001-Present, Colorado Travel Ticket Selling, 2005-Present, Colorado Long-term Care Certified, 2014-Present, Colorado Annuities Certified, 2014-Present, Colorado Humana Medicare Advantage Certified, 2014-Present, Colorado - 2015 Sep 08
... Colorado Life and Health, 2001-Present, Colorado Travel Ticket Selling, 2005-Present, Colorado Long-term Care Certified, 2014-Present, Colorado Annuities Certified, 2014-Present, Colorado Humana Medicare Advantage Certified, 2014-Present, Colorado - 2015 Sep 08
Customer Service Representative
Monument, CO
... December 2015 – Present * Analyze insurance plans * Assist in processing claims for commercial plans, Medicare and D plans. * Ensure quality experience * Resolve Pharmacy rejected claims * Log calls daily * Type 50 wpm * Received 6 quality awards & ... - 2015 Jul 28
... December 2015 – Present * Analyze insurance plans * Assist in processing claims for commercial plans, Medicare and D plans. * Ensure quality experience * Resolve Pharmacy rejected claims * Log calls daily * Type 50 wpm * Received 6 quality awards & ... - 2015 Jul 28
Health Care and Insurance Professional
Colorado Springs, CO
... Greeted patients and caregivers Performed data entry, and basic office responsibilities Offered resolutions to patient concerns Processed Medicaid/ Medicare billing Prepared and purged patient charts Prepared and submitted insurance forms Outbound ... - 2015 Jun 29
... Greeted patients and caregivers Performed data entry, and basic office responsibilities Offered resolutions to patient concerns Processed Medicaid/ Medicare billing Prepared and purged patient charts Prepared and submitted insurance forms Outbound ... - 2015 Jun 29