| Resume alert | Resumes 41 - 50 of 481 |
Quality Management Practical Nurse
Delran, NJ, 08075
... information PROFESSIONAL EXPERIENCE Innovage Staffing – Remote March 2022-Present PACE Chart Auditor - Reviewed all Medicare Member’s chart for IDT compliance Horizon Blue Cross /Blue Shield, Pennington, NJ February 2021-February 2022 Clinical ... - 2023 Nov 01
... information PROFESSIONAL EXPERIENCE Innovage Staffing – Remote March 2022-Present PACE Chart Auditor - Reviewed all Medicare Member’s chart for IDT compliance Horizon Blue Cross /Blue Shield, Pennington, NJ February 2021-February 2022 Clinical ... - 2023 Nov 01
Customer Service High School
Levittown, PA
... Assisted in offering the government the ability to implement programs (such as Medicaid and Medicare) rapidly with scalable operations and automated systems. UNISYS CORPORATION, Blue Bell, PA Call Center Supervisor, January 1994-April 1998 Initially ... - 2023 Oct 31
... Assisted in offering the government the ability to implement programs (such as Medicaid and Medicare) rapidly with scalable operations and automated systems. UNISYS CORPORATION, Blue Bell, PA Call Center Supervisor, January 1994-April 1998 Initially ... - 2023 Oct 31
Project Manager Open Enrollment
Willow Grove, PA, 19090
... •Proven success in managing the Roche Educational Assistance program, Medicare Part D Administration, Medicare Data Match and Medicare Coordination of Benefits. •Presents benefit training workshops for benefit plans that include health and welfare, ... - 2023 Oct 19
... •Proven success in managing the Roche Educational Assistance program, Medicare Part D Administration, Medicare Data Match and Medicare Coordination of Benefits. •Presents benefit training workshops for benefit plans that include health and welfare, ... - 2023 Oct 19
Third Party Customer Service
Philadelphia, PA
... ICD 9 and CPT coding for billing purposes Processed registration and or billing forms for specialty programs Familiar with Medicare and Medicaid policies and procedures Familiar with Medical terminology and HIPPA law requirements Skilled in handling ... - 2023 Oct 17
... ICD 9 and CPT coding for billing purposes Processed registration and or billing forms for specialty programs Familiar with Medicare and Medicaid policies and procedures Familiar with Medical terminology and HIPPA law requirements Skilled in handling ... - 2023 Oct 17
Data Entry Project Management
Norristown, PA
... Worked with members of the government in the implementation of the changes to the new MBI# for Medicare. Supported training to end users on the different applications. Also created all the test plans for all projects and Change Requests. Performed ... - 2023 Oct 11
... Worked with members of the government in the implementation of the changes to the new MBI# for Medicare. Supported training to end users on the different applications. Also created all the test plans for all projects and Change Requests. Performed ... - 2023 Oct 11
Customer Service Prior Authorization
Princeton, NJ
... •Documented beneficiary outcomes and provided counseling to Medicare beneficiaries on medication use & disease management. •Supported customers by providing excellent customer service and effective counseling on health solutions, delivering ... - 2023 Oct 05
... •Documented beneficiary outcomes and provided counseling to Medicare beneficiaries on medication use & disease management. •Supported customers by providing excellent customer service and effective counseling on health solutions, delivering ... - 2023 Oct 05
Administrative Assistant Case Manager
Willingboro, NJ
... ●Assisted individuals in obtaining benefits such as Medicaid/Medicare, food stamps and medical records. ●Detailed program operations and participant activities with comprehensive recordkeeping. HELP USA Case Manager Brooklyn, NY 2013-2015 ●Assured ... - 2023 Oct 01
... ●Assisted individuals in obtaining benefits such as Medicaid/Medicare, food stamps and medical records. ●Detailed program operations and participant activities with comprehensive recordkeeping. HELP USA Case Manager Brooklyn, NY 2013-2015 ●Assured ... - 2023 Oct 01
Human Resources .Net Developer
Philadelphia, PA
... •Provided full-cycle recruitment management for the following functions: Operations, Finance, Accounting, Government Programs/Medicare, Quality Assurance, Audit & Compliance, Procurement, Public Affairs, Corporate Communications and Sales/Marketing. ... - 2023 Sep 23
... •Provided full-cycle recruitment management for the following functions: Operations, Finance, Accounting, Government Programs/Medicare, Quality Assurance, Audit & Compliance, Procurement, Public Affairs, Corporate Communications and Sales/Marketing. ... - 2023 Sep 23
Quality Assurance Registered Nurse
Riverside, NJ, 08075
... Secured initial Medicare license for company. Performed weekly quality assurance and performance indication reports. Coordinated private duty services in collaboration with Agency Administrator. Quality assurance daily by reviewing all professional ... - 2023 Sep 19
... Secured initial Medicare license for company. Performed weekly quality assurance and performance indication reports. Coordinated private duty services in collaboration with Agency Administrator. Quality assurance daily by reviewing all professional ... - 2023 Sep 19
Executive Assistant/Administrative Assistant Accounts Receivable
Philadelphia, PA
... Specialist Saddle Brook, NJ 1989 – 1995 Managed all types of Insurance Claims including private Insurance, PIP, WC, Bankruptcy, Charity Care, Medicare and Medicaid claims Followed up and verified with Insurance Companies, Attorneys, patients, etc. ... - 2023 Sep 14
... Specialist Saddle Brook, NJ 1989 – 1995 Managed all types of Insurance Claims including private Insurance, PIP, WC, Bankruptcy, Charity Care, Medicare and Medicaid claims Followed up and verified with Insurance Companies, Attorneys, patients, etc. ... - 2023 Sep 14