| Resume alert | Resumes 31 - 40 of 238 |
Utilization Review Management
Brentwood, TN
... comprehensive Utilization Management services using Interqual criteria, working in conjunction with the health care team, including health plans, the Centers for Medicare and Medicaid Services (CMS), physicians, and other health care providers. ... - 2023 Nov 10
... comprehensive Utilization Management services using Interqual criteria, working in conjunction with the health care team, including health plans, the Centers for Medicare and Medicaid Services (CMS), physicians, and other health care providers. ... - 2023 Nov 10
Customer Service Accounts Receivable
Madison, TN, 37115
... Vee Care, Urbandale, IA 10/2006 - 04/2007 Prior Authorization ● Facilitated authorization for patient’s medications through Medicare D and Medicaid plans ● Called on nursing homes and doctor offices for medication approvals for patients as needed ● ... - 2023 Nov 02
... Vee Care, Urbandale, IA 10/2006 - 04/2007 Prior Authorization ● Facilitated authorization for patient’s medications through Medicare D and Medicaid plans ● Called on nursing homes and doctor offices for medication approvals for patients as needed ● ... - 2023 Nov 02
Customer Service Senior Account
Nashville, TN
... Manages HEDIS and Performance Account Process Medication Orders and Provide Financial Assistance for High Copays with Medicare Part D Plans Communicate with Specialized Clinics for additional documentation and with Management Staff Collection of ... - 2023 Oct 18
... Manages HEDIS and Performance Account Process Medication Orders and Provide Financial Assistance for High Copays with Medicare Part D Plans Communicate with Specialized Clinics for additional documentation and with Management Staff Collection of ... - 2023 Oct 18
Customer Service Representative
Nashville, TN
... * Answer the phone and help customer with medicare and health insurance plans. * Enroll and compare plans with customers. + Educated customers about claims. Accessioning Technician - February, 2020 to May, 2021 Care Path - Tampa, FL « Analyzed ... - 2023 Sep 24
... * Answer the phone and help customer with medicare and health insurance plans. * Enroll and compare plans with customers. + Educated customers about claims. Accessioning Technician - February, 2020 to May, 2021 Care Path - Tampa, FL « Analyzed ... - 2023 Sep 24
Customer Service Representative
Nashville, TN
... Requested retraction of Medicare payment in DDE system Inquired on payment of claims thru various electronic systems Assisted with Medicare credit balance report Assisted various companies with accounts that were in backlog Assisted patients in ... - 2023 Sep 12
... Requested retraction of Medicare payment in DDE system Inquired on payment of claims thru various electronic systems Assisted with Medicare credit balance report Assisted various companies with accounts that were in backlog Assisted patients in ... - 2023 Sep 12
Learning and Performance/ training Specialist
Nashville, TN, 37201
... CIGNA Government Services/CGS May 2007 – March 2020 Provider Relations Research Specialist III Nashville, TN ● Oversee case management of escalated Medicare issues including preparation of cases to be forwarded to law enforcement for federal ... - 2023 Sep 07
... CIGNA Government Services/CGS May 2007 – March 2020 Provider Relations Research Specialist III Nashville, TN ● Oversee case management of escalated Medicare issues including preparation of cases to be forwarded to law enforcement for federal ... - 2023 Sep 07
Accounts Payable Receivable
Franklin, TN, 37069
... * Supervision * Medicare * Handbook development * Medicaid/TennCare PROFESSIONAL EXPERIENCE Community Health Systems, Franklin, TN 2015-Present Long Term Care Billing Specialist – RCSC • Resolve claim processing issues in a timely manner, evaluating ... - 2023 Sep 06
... * Supervision * Medicare * Handbook development * Medicaid/TennCare PROFESSIONAL EXPERIENCE Community Health Systems, Franklin, TN 2015-Present Long Term Care Billing Specialist – RCSC • Resolve claim processing issues in a timely manner, evaluating ... - 2023 Sep 06
Customer Service Call Center
White House, TN
... Used HIPAA and Medicare guidelines to best assist patients with getting their appeals processed, swiftly and accurately Accredo Health Group - Nashville, TN Jan 2018 to Jan 2019 Patient Care Advocate Communicated with patients and patient relatives ... - 2023 Aug 28
... Used HIPAA and Medicare guidelines to best assist patients with getting their appeals processed, swiftly and accurately Accredo Health Group - Nashville, TN Jan 2018 to Jan 2019 Patient Care Advocate Communicated with patients and patient relatives ... - 2023 Aug 28
Customer Service Quality Assurance
Antioch, TN
... Appeals Analyst (December 2016-Feb 2018) CGS Administrators (Nashville, TN) call 855-***-**** to verify Production based claims processing for DME (Durable Medical Equipment) Medicare redeterminations for Jurisdiction C. Taught to read and ... - 2023 Aug 14
... Appeals Analyst (December 2016-Feb 2018) CGS Administrators (Nashville, TN) call 855-***-**** to verify Production based claims processing for DME (Durable Medical Equipment) Medicare redeterminations for Jurisdiction C. Taught to read and ... - 2023 Aug 14
Accounts Payable Customer Service
Lebanon, TN
... management review · Assisted IT department with system upgrade · Performed weekly account reviews · Created work lists for Medicare, Medicaid and Managed Care Follow Up Representatives to improve cash collections · Trend, analyze, and communicate ... - 2023 Aug 11
... management review · Assisted IT department with system upgrade · Performed weekly account reviews · Created work lists for Medicare, Medicaid and Managed Care Follow Up Representatives to improve cash collections · Trend, analyze, and communicate ... - 2023 Aug 11