| Resume alert | Resumes 1 - 10 of 208 |
Senior Accountant Business Management
Columbus, OH
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case management, Sandata. Ohio Living Corporate Central Authorization Coordinator Westerville, OH 2021-2022 • Collaborates with ... - Mar 28
... ● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case management, Sandata. Ohio Living Corporate Central Authorization Coordinator Westerville, OH 2021-2022 • Collaborates with ... - Mar 28
Disability Claims Team Lead
Columbus, OH, 43219
... Palmetto Gba, Columbus, Ohio Appeals Specialist October 2010 to May 31, 2013 Perform reviews using clinical/medical information provided by physicians/providers and established criteria set or clinical guideline on Medicare appeals Provide support ... - Mar 24
... Palmetto Gba, Columbus, Ohio Appeals Specialist October 2010 to May 31, 2013 Perform reviews using clinical/medical information provided by physicians/providers and established criteria set or clinical guideline on Medicare appeals Provide support ... - Mar 24
Customer Service Call Center
Columbus, OH
... Cigna Insurance Company (Collabera Temporary Employment) - Nashville, TN Nov 2019 – Dec 2019 •CTS—processing Medicare Applications Lower Lights Christian Health Center - Columbus, OH Sep 2014 - Oct 2019 Medical Records Clerk •Created procedure ... - Mar 19
... Cigna Insurance Company (Collabera Temporary Employment) - Nashville, TN Nov 2019 – Dec 2019 •CTS—processing Medicare Applications Lower Lights Christian Health Center - Columbus, OH Sep 2014 - Oct 2019 Medical Records Clerk •Created procedure ... - Mar 19
Grievance and Appeals
Columbus, OH
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
Prior Authorization Services Representative
Columbus, OH
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
Sql Server Software Development
Dublin, OH
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
Financial Management Service Delivery
Columbus, OH
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
Information Systems Patient Care
Columbus, OH
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
Data Entry Customer Service
Columbus, OH
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
Customer Service Financial Clearance
Columbus, OH
... Coordinated benefits with medical insurance plans and Medicare providers. Conducted and documented comprehensive investigations to negotiate settlements or deny claims. Processed claims for payment or forwarded to appropriate personnel for further ... - Feb 01
... Coordinated benefits with medical insurance plans and Medicare providers. Conducted and documented comprehensive investigations to negotiate settlements or deny claims. Processed claims for payment or forwarded to appropriate personnel for further ... - Feb 01