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Cumming, GA
... Created and executed automation scripts in Selenium using a Keyword Driven Framework, analyzing test results Gained experience in Medicare/Medicaid business implementation using Facets for CVS Caremark. Designed and developed a login portal using ...
- 2023 Nov 29
Cumming, GA
... • Development of process, procedures, and competencies • Management of billing and regulatory requirements for all service areas • Full understanding of all insurances, (HMO, EPO, PPO, HSA, Medicare, Medicaid, Workers Comp) • Successful conversion ...
- 2023 Nov 29
Lawrenceville, GA
... • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements. • Processed manual claims when necessary due to incorrect or incomplete information from providers or patients. • Updated patient and ...
- 2023 Nov 28
Stone Mountain, GA
... of Managed Care/Medicare/Commercial/Workman’s Compensation/Other Government Insurance Contracts and Fee Schedules Comparisons to Claims w/Discrepancies, Processed Confidential Information in Secured Systems, Denial Management: Approvals and Denials; ...
- 2023 Nov 24
Decatur, GA
... Healthcare Medicaid Content Analyst/Medicare Content Strategist - Anthem, Inc. (via TekSystems), Atlanta, GA (08/2017 – 03/2018) • Managed demand gen copy, SEO, and UX to support Medicare and Medicaid. • Uploaded pdfs into SharePoint CMS on the ...
- 2023 Nov 21
Lawrenceville, GA
... Call center Supervisor & Team Lead for 25+ representatives, for healthcare benefits, billing discrepancies, group & Medicare coverage, benefit enrollment, claim denials, provider services, ICD-9 & HCPS coding, claims adjuster. Interviewer for ...
- 2023 Nov 18
Lawrenceville, GA
... Increased the number of Medicare and Managed care short term care residents. Managed expenses within established budgets. Administrator Northeast Atlanta Health & Rehabilitation Center - Atlanta, GA March 2014 to August 2015 Responsibilities ...
- 2023 Nov 14
Suwanee, GA
... Gainwell Technology, Atlanta, GA (former DXC Technology) 2017-2019 PMO Project Lead ●Led state of Georgia Department of Community Health (DCH) Medicaid and Medicare Information System (GA MMIS) initiatives. ●Managed project risks, remediation of ...
- 2023 Nov 10
Stone Mountain, GA
... • Responsible for completing enrollment for commercial, Medicare, and Medicaid for the following states, Hawaii, Idaho, Nevada, New Mexico, Oregon, and Oklahoma. • Enrolling Locum and hospitalist with contracted insurance plans. • Create/update CAQH ...
- 2023 Nov 09
Buford, GA
... GOHEALTH 2021 - 2022 Senior Benefits Advisor Receive inbound calls from seniors looking for information regarding benefits of Medicare Advantage Plans. Perform needs analysis to assist me in finding the Advantage plan that will fit their needs. ...
- 2023 Nov 08