| Resume alert | Resumes 21 - 30 of 556 |
Information Technology Data Analyst
Chicago, IL
... Worked for Humana and Medicare Participated in collaborative initiatives, demonstrating a deep understanding of CMS (Centers for Medicare & Medicaid Services) PROJECTS: Itemized Bill Review (IBR) and Diagnostic Related Groups (DRG) at EXL Service. ... - Mar 03
... Worked for Humana and Medicare Participated in collaborative initiatives, demonstrating a deep understanding of CMS (Centers for Medicare & Medicaid Services) PROJECTS: Itemized Bill Review (IBR) and Diagnostic Related Groups (DRG) at EXL Service. ... - Mar 03
Human Resources Accounts Payable
Chicago, IL
... ensuring efficient allocation of resources and smooth workflow Conducted comprehensive accounts payable audits, coordinated Medicare appeals, and processed 200 invoices per week Handled special projects related to public health initiatives for ... - Mar 01
... ensuring efficient allocation of resources and smooth workflow Conducted comprehensive accounts payable audits, coordinated Medicare appeals, and processed 200 invoices per week Handled special projects related to public health initiatives for ... - Mar 01
Project Management Manager
Chicago, IL
... Developed and managed roadmaps for Medicaid, Medicare, open enrollment and other projects within the EPMO. Liaised with stakeholders, vendors/third parties to determine project requirements, scope & objectives. End-end benefit testing, claims ... - Feb 28
... Developed and managed roadmaps for Medicaid, Medicare, open enrollment and other projects within the EPMO. Liaised with stakeholders, vendors/third parties to determine project requirements, scope & objectives. End-end benefit testing, claims ... - Feb 28
Customer Service Medical Claims
Chicago, IL
... ie SSI Medicaid Medicare Research Assist managers with verifications .Create Spread sheets and distribute to Manage Team Leaders . Claims Auditor contract 11/2007 to 03/2009 Destiny Health-care Investigate claims errors and open claims, Corrections, ... - Feb 25
... ie SSI Medicaid Medicare Research Assist managers with verifications .Create Spread sheets and distribute to Manage Team Leaders . Claims Auditor contract 11/2007 to 03/2009 Destiny Health-care Investigate claims errors and open claims, Corrections, ... - Feb 25
Case Manager Registered Nurse
Chicago, IL, 60602
... Has current knowledge of applicable regulations and laws pertaining to the major payers including Medicare, Medicaid, and other payor sources. Proven abilities to execute timely reviews with the interdisciplinary team to ensure that the care and ... - Feb 21
... Has current knowledge of applicable regulations and laws pertaining to the major payers including Medicare, Medicaid, and other payor sources. Proven abilities to execute timely reviews with the interdisciplinary team to ensure that the care and ... - Feb 21
Customer Service Claims Adjuster
Merrillville, IN, 46410
... •Interacting with eligibility department for approval of claim •Produced over 100 claims daily •Audits check for accuracy in claims checks FAMILY FIRST HEALTHCARE, Chicago, IL Medicare Claims Adjuster •Applied state laws to Medicare claims •Pre ... - Feb 20
... •Interacting with eligibility department for approval of claim •Produced over 100 claims daily •Audits check for accuracy in claims checks FAMILY FIRST HEALTHCARE, Chicago, IL Medicare Claims Adjuster •Applied state laws to Medicare claims •Pre ... - Feb 20
Medical Records Project Management
Chicago, IL
... and to review returned disputed or rejected claims from commercial medicare medicaid and w/c claims and other third party payers and problem solve Responsible for communication with all type of insurance coding processes to prevent future denials. ... - Feb 10
... and to review returned disputed or rejected claims from commercial medicare medicaid and w/c claims and other third party payers and problem solve Responsible for communication with all type of insurance coding processes to prevent future denials. ... - Feb 10
Follow Up Health Information
Chicago, IL
... Follow up on Payment/Refund Issues Jan '16 - Dec '16 Conifer Health Solutions Tinley Park, IL AR Follow up Representative Verify if the remaining balance is patient responsibility or a contractual adjustment Billing Commercial/Medicare Medicaid ... - Feb 06
... Follow up on Payment/Refund Issues Jan '16 - Dec '16 Conifer Health Solutions Tinley Park, IL AR Follow up Representative Verify if the remaining balance is patient responsibility or a contractual adjustment Billing Commercial/Medicare Medicaid ... - Feb 06
Mental Health Lead Case Manager
Merrillville, IN, 46410
... Demonstrated history of producing accurate, timely reports meeting stringent Court, Medicaid, and Medicare insurance guidelines. Flexible and versatile – able to maintain a sense of humor under pressure. Poised and competent with demonstrated ... - Feb 05
... Demonstrated history of producing accurate, timely reports meeting stringent Court, Medicaid, and Medicare insurance guidelines. Flexible and versatile – able to maintain a sense of humor under pressure. Poised and competent with demonstrated ... - Feb 05
Revenue Cycle Patient Access
Evergreen Park, IL, 60805
Carlota Garcia-Styczynski Industry Lines Health Care Management Public Health System Billing for all type of facilities Medicare & Medicaid Managed Care, Nursing,SNF Billing. Medical Programs Profit & Non-Profit Org Computer Applications MS Word MS ... - Feb 05
Carlota Garcia-Styczynski Industry Lines Health Care Management Public Health System Billing for all type of facilities Medicare & Medicaid Managed Care, Nursing,SNF Billing. Medical Programs Profit & Non-Profit Org Computer Applications MS Word MS ... - Feb 05