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Douglasville, GA
... Assist Medicare/Medical members thru open enrollment with different health plans provided by county. Assist with provider calls. And update information in company data.Transfer/ refer consumers to appropriate entities according to the established ...
- 2023 Dec 31
Austell, GA
... CAREER PROFILE: Proficient with First Net, EMR, EMAR, CPOE, HEALTHY RETURNS SYSTEM, MMHP+, California Call Care Browser, Milliman Care Guidelines Medicare Advantage Case Management Strong technical and analytical skills Business Analysis Business ...
- 2023 Dec 29
Acworth, GA
... PRGX Healthcare - Atlanta GA October 2012 – July 2013 Program/Project Leader Working with the healthcare audit team for Medicare, Medicaid and Private Payer to set deadlines, coordinate resources, costs, and schedule for assigned projects, support ...
- 2023 Dec 28
Atlanta, GA
... Answer calls Inform them about take advantage of them getting medicine in the mail with 90 days supplies Talk about there Medicare plans Return calls to remind them of their plans Warm transfer Dental insurance Coverage Schedule dental appointments ...
- 2023 Dec 25
Atlanta, GA
... (CARF, Medicaid/Medicare, Heath and Human Services Division) - improved Medicaid Compliance by 50% for billing scores Drive innovation and efficiency initiatives, enhancing patient/client experiences (reducing wait times by 20% in last fiscal year). ...
- 2023 Dec 14
Dallas, GA
... and details based on consumer needs ● Provide objective information pertaining to coverage, annual notice of change, pharmacy/network coverage, and drug formularies ● Secure compliant enrollment into appropriate plan Humana Medicare Sales Agent. ...
- 2023 Dec 13
Atlanta, GA
... • Verify insurance including medicaid and medicare Authorization Specialist / CSR / Call Center Lincare Inc - Conyers, GA January 2016 to December 2019 • EMR/EHR/DME • Verify Insurance and eligibility • Familiar with Medicare-Medicaid, Cigna, BCBS ...
- 2023 Dec 12
Hiram, GA
... •Provided claim information to providers Teleperformance Provider Service Representative 10/2020 - 05/2021 •Answered high-volume inbound calls from Providers and their staff calling into Peach State Medicare and Medicaid plans. •Assisted providers ...
- 2023 Dec 11
Atlanta, GA
... Computer 2005 New Arts college, Ahmednagar Pune University 62% Project Experience Atos Syntel Limited Mar 2017 till Date Project ID Project Name Client Name Team Size Designation Role Technologies Used 92837, 98511 Humana Medicare Ecommerce (D2c & ...
- 2023 Dec 11
Dallas, GA
... ● Collected information, verified insurance and collected co-payments for patients as part of check-in process ● Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues ● Harvest Financial Associates - Mortgage ...
- 2023 Dec 09