| Resume alert | Resumes 1 - 10 of 237 |
Specialty Pharmacy Home Health
Ashland City, TN
... HMO, IPA, PPO, POS, Medicare, St Medicaid Programs oPricing; payer setup oCoding; ICD9, ICD 10, CPT, HCPCs oPosting; charges, payments, adjustments, refunds oBilling, electronic, paper, NCPDP format, secondary billing o Medicare A, B, C, D and PBM’s ... - Apr 23
... HMO, IPA, PPO, POS, Medicare, St Medicaid Programs oPricing; payer setup oCoding; ICD9, ICD 10, CPT, HCPCs oPosting; charges, payments, adjustments, refunds oBilling, electronic, paper, NCPDP format, secondary billing o Medicare A, B, C, D and PBM’s ... - Apr 23
Utilization Management Case
Gallatin, TN
... SKILLS Utilization Management InterQual MCG Manage Care Concepts (Commercial, Medicare, Medi-cal) EHR Expert – EPIC, All Scripts Transformational Leadership and Collaboration Analytical and Process Oriented Effective interpersonal communication and ... - Mar 25
... SKILLS Utilization Management InterQual MCG Manage Care Concepts (Commercial, Medicare, Medi-cal) EHR Expert – EPIC, All Scripts Transformational Leadership and Collaboration Analytical and Process Oriented Effective interpersonal communication and ... - Mar 25
Accounts Receivable Data Entry
Antioch, TN
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Handled 150 cases per day Claims Specialist, 07/2018 - 09/2018 Kemberton Records Management Llc Conducted annual reviews ... - Mar 23
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Handled 150 cases per day Claims Specialist, 07/2018 - 09/2018 Kemberton Records Management Llc Conducted annual reviews ... - Mar 23
Customer Service Call Center
Gallatin, TN
... SKILLS Credit & refunds Collections Hospital and Physician claims billing (UB & HCFA 1500) EOB review Medical Billing High volume revenue recovery and collection Medicare Part A& B, Medicaid, Workers Compensation claims Call center (Inbound/Outbound ... - Mar 02
... SKILLS Credit & refunds Collections Hospital and Physician claims billing (UB & HCFA 1500) EOB review Medical Billing High volume revenue recovery and collection Medicare Part A& B, Medicaid, Workers Compensation claims Call center (Inbound/Outbound ... - Mar 02
Medical Claims Customer Service
Nashville, TN
... Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020: • Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers. • Proficient with web portals like Availity, client systems, and ... - Feb 26
... Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020: • Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers. • Proficient with web portals like Availity, client systems, and ... - Feb 26
Patient Care Manager
Antioch, TN
... Medical Reviewer III December 2011 to August 2014 • Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines using Medicare guidelines and ICD coding. ... - Feb 23
... Medical Reviewer III December 2011 to August 2014 • Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines using Medicare guidelines and ICD coding. ... - Feb 23
Administrative Support Trip Coordinator
Lebanon, TN
... 2004 – 2005 - Renal Care Group, Nashville TN Administrative Assistant • Processed, submitted, and tracked patient provider applications for Medicare, Medicaid, BCBS for all regional facilities. • Reviewed and evaluated spreadsheets of A/R postings, ... - Feb 15
... 2004 – 2005 - Renal Care Group, Nashville TN Administrative Assistant • Processed, submitted, and tracked patient provider applications for Medicare, Medicaid, BCBS for all regional facilities. • Reviewed and evaluated spreadsheets of A/R postings, ... - Feb 15
Management and Supervisor
Nashville, TN
... KEPRO (Keystone Peer Reviewed Organization) – Supervisor - Nashville, TN Aug 2018 – Aug 2019 Description of Job Duties: A part of an implementation project with a new state contract Healthcare (Medicaid/Medicare recipients) for a Call Center. ... - Feb 08
... KEPRO (Keystone Peer Reviewed Organization) – Supervisor - Nashville, TN Aug 2018 – Aug 2019 Description of Job Duties: A part of an implementation project with a new state contract Healthcare (Medicaid/Medicare recipients) for a Call Center. ... - Feb 08
Claims Processor Administrative Assistant
La Vergne, TN
... March 2012 – June 2014 Payment Poster Post Payment for 120 Clinic and Hospital Facilities Medicare, Medicaid and Commercial Payment Posting Recoupments (take back) and Overpayments Process cash-link deposits and e-payment in a timely manner Perform ... - Feb 08
... March 2012 – June 2014 Payment Poster Post Payment for 120 Clinic and Hospital Facilities Medicare, Medicaid and Commercial Payment Posting Recoupments (take back) and Overpayments Process cash-link deposits and e-payment in a timely manner Perform ... - Feb 08
Customer service
Hendersonville, TN
... Coding, able to apply ICD-10-CM Auditing, ensure documentation and performance compliance Understand HIPAA requirements Able to apply long term care payment systems, including Medicare Filing according to the Minimum Date Set/Care Plan schedule ... - Feb 06
... Coding, able to apply ICD-10-CM Auditing, ensure documentation and performance compliance Understand HIPAA requirements Able to apply long term care payment systems, including Medicare Filing according to the Minimum Date Set/Care Plan schedule ... - Feb 06