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Miami, FL, 33127
... • Coordinate care for Medicare/ Medicaid patients • Explained relevant services, coordinating and monitoring implementation of programs. • Worked to develop client's health management goals. • Created agendas, prepared materials for client and ...
- 2023 Aug 10
Miami, FL
... SKILLS Well organized and efficient, strong training skills, Strong Knowledge of computer proficiency in Misys, Emdeon, Availity, Nextgen, Medicaid, Medicare and data entry. Customer Service Skills, Microsoft, Office Management, Medical Billing etc.
- 2023 Aug 02
Miami, FL
... •Proven track record of optimizing billing processes, reducing denials, and increasing collections •In-depth knowledge of Medicare, Medicaid, and third party payer reimbursement regulations •Proficient in utilizing revenue cycle management software ...
- 2023 Jul 25
Cutler Bay, FL, 33190
... • Familiar with Commercial Insurances such as Cigna, BCBS, Medicaid, Medicare, Sunshine Health, Ambetter, Avmed, etc. • Familiar with Microsoft Word; Microsoft Outlook; Microsoft Excel; Pages, Keynote, Numbers, DLSR and Photography, Photoshop, and ...
- 2023 Jul 17
Miami, FL
... EVERY STORE 01/2017 – 12/2018 CLINICAL COORDINATOR, CONVEY HEALTH SOLUTION DATA ENTRY, APPROVED MEMBER MEDICATION, WORKING BOTH MEDICARE PART D AND COMMERCIAL, FAXING, VERIFY PHONE NUMBER, INTAKING AND MANAGED THE REFERRAL 03/2007-PRESENT/ SEASONAL ...
- 2023 Jul 17
Miami, FL
... Certificado Profesional De Coder, 01/2023 - 04/2023 Ponce Mediclub Medical Center Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes. ...
- 2023 Jul 14
Miami, FL
... Experience with Provider's Medical charts auditing, servicing members on (PSN, MEDICAID/MEDICARE) and Commercial members Knowledgeable in processing prior authorization and retrospective reviews, ensuring InterQual and Milliman guidelines. Extensive ...
- 2023 Jul 12
Miami, FL
... EDUCATION 2011 LPN, Keiser Career Institute 2023- Currently enrolled IT Support Specialist, Coursera SKILLS Management Excel - Jira - Trello – Zephyr- Confluence Teamwork Project management SDLC, STLC Analysis Medicare/Medicaid and Commercial ...
- 2023 Jul 09
Miami, FL
... Office Administration Insurance Billing/Coding • Electronic Claims Forms • ICD/CPT Coding • Insurance Processing • Medicaid & Medicare • TRICARE & CHAMPVA • HMO’s & PPO’s • Worker’s Compensation • Disability Insurance • Clinical • CPR & First Aid ...
- 2023 Jun 26
Miami, FL
... Nations Health 13621 NW 12th Street #100 Sunrise, FL 33303 954-***-**** Insurance Billing Specialist 5/1997 – 7/2003 *Handle billing for durable medical equipment & supplies *Liaison with Medicare for denied claims *Contact patients with rental and ...
- 2023 Jun 23