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... LIVING WELL URGENT CARE CENTER • CIGNA HEALTHSPRING• 08/2014- 09/2015 NURSE PRACTITIONER • Perform comprehensive physical exams and assessments for the Medicare population. • Formulate diagnoses, prescribe appropriate treatments, and order and ...
- 2020 Oct 07
North Wales, PA
... The Important activities include developing and maintaining legacy applications including RxSY (Aetna Legacy Pharmacy Claims System), Rx-HMO, Aetna Integrator (AI), PDED and commercial and medicare EOBs. The project also included day to day system ...
- 2020 Sep 22
... Experience with Medicaid/Medicare/Healthcare data and analytics. Strong experience with WorkDay for hiring employees, Terminating employees, Change Job, moving organization and Payroll validation Technical & Business Skills: Requirement Tools JIRA, ...
- 2020 Sep 15
... applications for NJ’s senior citizens to help them obtain assistance with Medicare Part B coverage nResponsible to process renewal applications and communicate with candidates regarding any additional information needed to complete the applications. ...
- 2020 Sep 15
... PROFESSIONAL EXPERIENCE Einstein Healthcare Network, Philadelphia, Pa 2015 - Present Accounts Receivable Analyst Process AR review for Commercial, Medicare and Medicaid insurance claims including Workers Compensation, Independent Medical Examination ...
- 2020 Aug 14
... Knowledge of heath information and healthcare services regulatory environment including HIPAA, Medicaid/Medicare, and EDI Tested Web Services /XML / SOAP services using SoapUI tool Worked with project management tools and excellent documentation ...
- 2020 Aug 06
Mount Holly Township, NJ
... nursing, admissions and Case Manager for Office of Quality Assurance with Medicaid and Medicare Nurse Educator/Staff RN Capital Health Systems - Trenton, NJ September 1984 to September 2005 Worked as a Med-Surg RN then transferred to L&D. ...
- 2020 Aug 01
Huntingdon Valley, PA
... Recruiter Consultant 05/2011-9/2011 Working as a high volume Contract Recruiter hiring candidates to become licensed agents in accident and health insurance to enroll individuals in medicare/medicaid plans during the annual open enrollment period. ...
- 2020 Jul 20
... Successful Medicare/Medicaid Meaningful Attestation for 23 providers Successful PQRS attestations. Managed credentialing for 23 providers. Reviewed Medicare denials to ensure proper appeals/documentation Sat on Executive Committee to strategically ...
- 2020 Jul 18
Willingboro Township, NJ
... Skilled at processing Medicare Advantage Facility and Professional claims, Personal Choice 65 claims and Region 19 CIS Edits. Proficient in software applications: OSCAR, MHS, PLANMATE, and CIS. Licensed Practical Nurse in PA. Critical thinker, ...
- 2020 Jun 23