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Harrisburg, PA
... - Lemoyne, PA September 2020 to August 2021 Personal care, light housekeeping, companionship in a home setting Claims Processor Novitas Solutions - Mechanicsburg, PA September 2017 to December 2020 Processes JH and JL contracts for Medicare claims. ...
- Mar 10
New Cumberland, PA
... 2023 • Professionally answered inbound calls from providers and/or members • Verified claims were processed accordingly per Medicare guidelines • Accurately escalated complex cases to appropriate departments in leadership • Diligently researched ...
- Feb 23
Harrisburg, PA
... Department Of Human Service - Medicare Advantage Plan, TN Sr. Data Analyst 09/2019 – 11/2021 ●Developed Tableau worksheets from numerous data sources, leveraging data blending and joining techniques. ●Orchestrated the automation of data cleansing ...
- Feb 16
York, PA, 17401
... • Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.Specialize in Medicare part A and part B. Direct Support Professional Community Options, Inc. - York, ...
- Jan 08
Harrisburg, PA
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Contacted clients with past due accounts to formulate payment plans and discuss restructuring options. Used data entry ...
- Jan 06
Harrisburg, PA, 17101
... Towson, MD Nov '14 thru Jun '15 Project Title: Informant Rewrite Medicare Fraud Discovery Application Responsibilities: Analyzed currently in production PowerBuilder 11.5 code for functionality and sql to help in the rewrite of the Medicare Fraud ...
- 2023 Dec 17
Harrisburg, PA
... in the US for any employer Work Experience Customer Service Representative Aston Carter - Steelton, PA October 2023 to November 2023 Politely assisted callers with employer, retiree and Medicare eligible health benefits, while working from home. ...
- 2023 Dec 11
Mechanicsburg, PA
... Performed detailed analysis of supplemental data to ensure CMS (Centers for Medicare and Medicaid Services) requirements. Collaborated with ETL Developers for data mapping and back-end functionality of clinical platforms. Represented the HEDIS team ...
- 2023 Nov 19
Enola, PA
... Customer Service Representative, Dentaquest(Remote), Harrisburg, PA January 2021-April 2021 Assisted Medicare and Medicaid recipients find dental providers and specialists that accept their insurance, scheduled appointments, and verified ...
- 2023 Oct 30
York, PA
... Developed and implemented a central, unit-based, triad model of case management Assisted with a Medicare grant to reduce the hospital readmission rate to 6% by developing and implementing a predictive risk assessment Partnered with community based ...
- 2023 Oct 22