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Resumes 11 - 20 of 238 |
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
Nashville, TN
... Enrolls provider in Medicare, Medicaid, BCBS, UHC, Cigna, Humana and several other commercial payers depending on contracts in the area. Works with managed care to review if a contract is needed in an area. Billing Specialist Tennova/Gateway Medical ...
- Feb 01
Nashville, TN
... Team Lead July 2009 to Present Maintains knowledge of commercial, Medicaid and Medicare guidelines for correct reimbursement for Physicians charges for all insurances along with all Anesthesia and RHC rules and regulations for billing and payment. ...
- Jan 28
Nashville, TN
... Experience State of Tennessee Tenncare Managed Care Specialist III March 2021-February 2023 Reviewed cases for Medicare coverage for single families depending on family size and income and also for individuals that were over the age of 65. Ran ...
- Jan 22
Nashville, TN
... Owner Ross Financial Group, Elmhurst, IL Jul '85 - Jun '08 (22 Years, 11 Months) Owner, Ross Financial Group, Jul 1985 - Jun 2008, Elmhurst, IL Independent Health Insurance Agency where I sold Major Medical, Group, Medicare, Medicare Advantage. ...
- Jan 22
Nashville, TN
... Additionally, I worked collections and reconciliations of outstanding debt, as well as handled all electronic billing transmission including Medicare and Medicaid. Further handled all IT matters, Hardware and Software implementation. Tennessee ...
- Jan 19
Nashville, TN
... Conducted timely clinical decision reviews for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Supports and Services (LTSS), and Home ...
- Jan 12
Hendersonville, TN
... and UBB04 •Followed up on claims filed over 30 days to make sure they were being processed with insurance company •Worked with Medicare and Medicaid •Worked with private payors (commercial insurance company) •Assign ICD-9 to psychiatrist-physicians ...
- Jan 10
Ashland City, TN
... • Medical Records (10+ years) • Microsoft Outlook (10+ years) • CPT Coding (10+ years) • Order Entry (10+ years) • Medicare Experience (10+ years) • Bluecross/ Blueshield Experience (10+ years) • HMO/PPO PAYERS (10+ years) • Commercial Payers ...
- Jan 08
Nashville, TN
... ● Technical Writer - Freelanced as a technical writer for Cigna/HealthSpring’s integration of pharmacy benefits manager, Express Scripts, into their Medicare Part D Formulary team. ● Copywriter - Wrote a series of blog posts for a group of ServPro ...
- Jan 03