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Resumes 101 - 110 of 573 |
Philadelphia, PA
... ultrasound films to diagnose patient symptoms ICT Group, Allentown, PA 2002 - 2003 Customer Service Representative ● Handled Medicare customer inquiries regarding determination of benefits for prescription and drug program ● Explained complex plan ...
- 2023 Apr 15
Philadelphia, PA
... Reimbursement Systems Medical Basics and Healthcare Claim Cycle Healthcare Payers Managed Care (HMO, PPO, and POS) Medicare / Medicaid Government Payers Third Party Payers HIPAA Compliance Medical Charts Basic Anatomy & Physiology Healthcare ...
- 2023 Apr 14
Philadelphia, PA
... • Correctly identifies doctor's enrollment with Medicare/Medicaid insurance. • Documents all patient interactions in Brightree as progress notes and fulfilling payer requirements for refills. • Completes ICD-10/9 diagnosis codes; confirms ICD-10/9 ...
- 2023 Apr 12
Media, PA
... Managed scope, issues, risks, budget, work plan, test plan, software releases, application interdependencies, internal, external, offshore teams, vendors, system architects, testers · High Mark BCBS Merger – Worked with C-level and VPs of Medicare ...
- 2023 Apr 07
Upper Makefield Township, PA, 18977
... 20,000 steps routine per shift with entire campus coverage MedEx LLC (1999-2016) Owner Negotiated preferred provider contracts to multiple acute care hospitals in Bucks County and Northeast Philadelphia Successfully awarded Medicare exclusive ...
- 2023 Apr 05
Newtown, PA
... Extensive Managed Market knowledge across MCO payers, Medicare Part B/DMERC carriers (MACs), Pharmacy Benefit Managers (PBMs), Medicare Part D, State Medicaid, Specialty Pharmacy (SPP), IDN’s, Wholesaler’s, Hospital, and infusion clinics. ...
- 2023 Mar 31
Media, PA
... Consultant 7/2015-3/2016 ●Assisted Pennsylvania, Delaware and New York Health Departments in obtaining contracts with Medicare/Medicaid and commercial payors ●Created intake, billing and collection processes ●Trained Health Departments on intake, ...
- 2023 Mar 29
Norristown, PA, 19404
... as directed by processing specifications.• Maintain required records and paperwork.• Maintain accurate time sheets, Medicare Trip Fee sheets, monthly vehicle report, expense report, patient changes and edits, logging of inventory and ordering ...
- 2023 Mar 27
Philadelphia, PA
... Humana Medicare Advisor Corporate Call Center, Inc - Philadelphia, PA August 2014 to August 2018 • Processed all billing and payment changes to sell Prescription Drug Plans. I also • Determine eligibility, explained terms conditions and benefits • ...
- 2023 Mar 26
Swarthmore, PA
... Assisted patients in filing claims with insurance companies, working with insurance companies to resubmit denied claims and provide proper ICD-10 coding needed to file Medicare claims. Customer Service Representative Optum 360 United Healthcare - ...
- 2023 Mar 15