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McKinney, TX
... Submitting medical claims to various insurance companies and Medicare. Identify potential billing complaints and finding the solutions. Other duties as assigned to me. CUDDLE ME HOME CARE -9/2012-3/2014 Billing Specialist Preparing and submitting ...
- Apr 25
Dallas, TX, 75398
... Flexible spending accounts and Medicare benefits, Business to Business Sales, Inside Sales and World Class Quality/Coaching for Quality Training. Meeting Systems used: Teams, Zoom, Google Meets and Skype.ogy-rales or account management experience.
- Apr 24
Plano, TX
... Project Lead Project Name: SWAT Transition Fill (TF) updates- Medicaid, Medicare and Commercial This project implemented for modifications to Medicaid Adjudication logic to ensure correct messaging is being returned for Cumulative and Edit Bypass ...
- Apr 23
Frisco, TX
... ●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program. ●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners ...
- Apr 23
Rockwall, TX
... SKILLS - Zendesk - 60 WPM - POS Systems - HIPPA - Clerical Support - Medical Term - LiveChat - EPIC - Citrix - Microsoft Office - Helpdesk - Medicaid - CRM - Netforum - Fraud Detection - Medicare - Salesforce - Java Script - Genysis - Vendor ...
- Apr 20
Dallas, TX, 75211
... with standards, corporate policies, and regulatory guidelines from HIPAA, COMAR, Medicaid, Medicare, Office of Health Care Quality (OHCQ), etc., by developing, updating, implementing, and monitoring quality programs, policies, and procedures. ...
- Apr 16
Irving, TX
... to August 2020 Aetna Medicare Answer calls from members and providers Explain EOC and claims processing Take premium payments Insurance Follow-up Specialist Randstad - Peoria, IL January 2018 to August 2019 Third Party billing for several offices. ...
- Apr 15
Prosper, TX
... Worked on the State pharmacy benefit claims including Medicaid, NJ FamilyCare Free for- Service pharmacy claims, PAAD, ADDP, CF and Medicare population. Responsible for the data collection, statistical analyses and evaluation of the edit codes, ...
- Apr 15
Dallas, TX, 75225
... Centers for Medicare & Medicaid Services, Baltimore MD USA – Health Care. State Of Massachusetts, Boston MA USA – Health Care. State Street Corporation, Boston MA USA – Financial & Capital Markets. Carrefour, France – Retail. KR Hospital, India – ...
- Apr 15
Plano, TX
... It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term ...
- Apr 10