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Raleigh, NC
... Signature Strengths: Healthcare Information Technology • Medicare & Medicaid • Public Health • HIPAA • Team Leadership • Healthcare Consulting • Medical Billing • Collections • Patient Safety • Health Insurance• Marketing Strategy • Records & ...
- 2023 Jun 27
Durham, NC
... employment on government and state conditions NOVEMBER 2015 –JULY 2017 Customer Service Representative / Conduent Aetna Medicare Insurance, Cary, NC • Investigated and resolved customer inquiries and complaints in a timely and empathetic manner • ...
- 2023 May 22
Durham, NC
... Direct contact with Medicare and private insurance carriers on reconsideration of payment and/or modification to insurance claim. Weekly reports were provided to managers of progress, areas of concern and recommendations. Accountable for employee’s ...
- 2023 May 11
Durham, NC
... in the United States Army as Military Police for 2 years PROFESSIONAL EXPERIENCE Claim Specialist 2020 – Present Provide claims processing to State Employees, Student Groups, Business Groups, Individuals, and Medicare Advantage Senior Market Groups. ...
- 2023 May 10
Raleigh, NC
... Incoming calls using a switchboard to answer questions about customers accounts such as Medicaid and Medicare. Receive calls from queue to process payments for Optum insurance (Obama Care). Keep records of calls and payments using dual screen ...
- 2023 May 10
Raleigh, NC
... Participated with Medicaid, Medicare, other insurance companies, and Worker’s Compensation in North Carolina 2012 - 2020. Participated with Workers Compensation in North Carolina, and Virginia by assisting several attorneys with Worker’s ...
- 2023 Apr 27
Raleigh, NC
... reporting results according to protocols mandated by CLIA, Medicare, Medicaid, and public health department. Maintained medical laboratory equipment performance by performing quality standards; following daily operations, quality, and ...
- 2023 Apr 18
Cary, NC, 27518
... Secured 8 Contracts with Medicaid/Medicare, Private Insurance Providers, Workers Comp contractors, VTS & Accident Law firms in NC Medical billing & Client Reimbursements - Knowledge of all forms/portal use & trained staff Established procedures for ...
- 2023 Apr 17
Raleigh, NC
... Extensive knowledge of Medicaid (MMIS), Medicare, HIPAA, Procedural and Diagnostic codes, and Claims Process. Have experience working on HIPAA X12 EDI transaction codes such as 270/271 (inquiry/response health care benefits), 276/277 (Claim status), ...
- 2023 Apr 13
Morrisville, NC, 27560
... CORE COMPETENCIES • Pharmacy Operation Management • Medicare and Medicaid Process • Medication Therapy Management • Drug Inventory Management • Pharmaceutical Sales & Services • Start-up and Turnaround Management • Pharmacy Marketing and Promotions ...
- 2023 Apr 07