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Largo, FL
... Managed the development of the system security plan (SSP) to update the SSP from Centers for Medicare, and Medicaid Services (CMS) Minimum Acceptable Risk Standards for Exchanges (MARS-E) 1.0 requirements to 2.0 requirements. Lead auditor for HIPAA ...
- Apr 15
Clearwater, FL
... Responsibilities included privacy oversight, analysis, and reporting for all MRx business units: Govt/Medicaid FFS, National PBM, Mid-Market Employer, Specialty Pharmacy Distribution & Medical UM, Magellan Medicare D Health Plans and MRx Method; ...
- Apr 03
Dunedin, FL
... on members — In & out of network benefit resolution —Claims review and correction — Corrected billing codes per Medicare guidelines — Assisted new employees with claims that they were unable to resolve CAPITAL ONE / Tampa, FL / 2007 to 2011 ...
- Apr 02
Clearwater, FL
... Additional Specialized Experience • Knowledge of medical terminology: ICD-9, ICD-10, HCPC Codes, 10-key by touch, CPT4, DRG, UB04, CMS1500, Medicare, Medicaid, Medicare Advantage and Managed Care, TPA, Indemnity, HMO, PPO, POS, EPO, Blue Card, ...
- Mar 16
Spring Hill, FL
Dakota Blevens 352-***-**** • ad33bs@r.postjobfree.com • LinkedIn EDUCATION Seminole State College of Florida – Orlando, FL December 2022 Bachelor’s in Engineering Technology Specializing in Project Management WORK EXPERIENCE Complete Medicare ...
- Mar 04
Largo, FL
... • Patient accounting and customer assistance • Medicare and Medicaid billing and collections • Precertification and verification of benefits • General manager of durable medical equipment company • General manager of restaurant • Hospital ...
- Feb 23
Wesley Chapel, FL
... I am in charge of the Medicaid and Medicare and Pediatrics centers. A total panel of 7,800 patients. I was able to reduce disenrollments to 3% from almost 5% before I started. I grew the Medicare center 20% since I acquired this clinic. • Monitors ...
- Feb 19
Tarpon Springs, FL
... 68638 (issued 20th Sept, 2023) Louisiana Controlled Dangerous Substances Number: 028836 NPI: 105******* UPIN: H4704 Medicare #CN763Z Florida Medicaid # 001335100 Certification 2004 - American Board of Internal Medicine 2005 - American Board of ...
- Feb 14
Hudson, FL
... Analyst Compuware Corporation – Farmington Hills, MI EDUCATION & CREDENTIALS Insurance and Annuities Principles 2018 LOMA - Atlanta, GA Medicare FWA & Compliance 2016 Meridian Health Plan - Detroit, MI Associate of Arts (A.A.) Degree 2012 St. ...
- Jan 27
Wesley Chapel, FL
... I am in charge of the Medicaid and Medicare and Pediatrics centers. A total panel of 7,800 patients. I was able to reduce disenrollments to 3% from almost 5% before I started. I grew the Medicare center 20% since I acquired this clinic. • Monitors ...
- Jan 25