| Resume alert | Resumes 11 - 20 of 74 |
Project Manager Management
Fairburn, GA
... Collaborated with system leaders to develop population health strategies for the Medicare Advantage, Medicaid Managed Care, and Self-Insured Employer Direct Contract. Drove product development and management including creation, development, and ... - 2023 Oct 31
... Collaborated with system leaders to develop population health strategies for the Medicare Advantage, Medicaid Managed Care, and Self-Insured Employer Direct Contract. Drove product development and management including creation, development, and ... - 2023 Oct 31
Banner,Ellucian,FERPA
Carrollton, GA
... Followed up on Medicare/Medicaid and third-party payer correspondence. Compiled data and various types of information to maintain accurate processing of claims. Assigned to the Center for Pain of Montgomery-Researched and resolved complex insurance ... - 2023 Aug 07
... Followed up on Medicare/Medicaid and third-party payer correspondence. Compiled data and various types of information to maintain accurate processing of claims. Assigned to the Center for Pain of Montgomery-Researched and resolved complex insurance ... - 2023 Aug 07
Business Partner Billing Specialist
Fairburn, GA
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Managed efficient cash flow reporting, posted cash receipts and analyzed charge backs, independently addressing and ... - 2023 Aug 02
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Managed efficient cash flow reporting, posted cash receipts and analyzed charge backs, independently addressing and ... - 2023 Aug 02
Clinical Laboratory Medical Technologist
Fayetteville, GA
... All required information and supporting documentation including billing, CPT codes must be entered into Emory’s LIS for accurate resulting and billing including Medicare. Assisted providers in finding correct tests and reference laboratory for ... - 2023 Jul 20
... All required information and supporting documentation including billing, CPT codes must be entered into Emory’s LIS for accurate resulting and billing including Medicare. Assisted providers in finding correct tests and reference laboratory for ... - 2023 Jul 20
Contract Administrator Management Analyst
Carrollton, GA
... to identify resolutions for denied payments to fix patient accounts for future consistent payments to follow DME payer g •Worked with The Medicare Insurance Aging Work List, which identifies unpaid Medicare claims that have qualified for follow-up. - 2023 Jun 19
... to identify resolutions for denied payments to fix patient accounts for future consistent payments to follow DME payer g •Worked with The Medicare Insurance Aging Work List, which identifies unpaid Medicare claims that have qualified for follow-up. - 2023 Jun 19
Claims Adjuster Independent
Fairburn, GA
... medical management practices and Social Security and Medicare application procedure as applicable to line of business • Analyzed data from the predictive analytics model(s) to identify key performance indicators with an opportunity for improvement. ... - 2023 Apr 14
... medical management practices and Social Security and Medicare application procedure as applicable to line of business • Analyzed data from the predictive analytics model(s) to identify key performance indicators with an opportunity for improvement. ... - 2023 Apr 14
Fraud Investigator Business Analyst
Fairburn, GA
... SAFEGAURD SERVICES Contractual Medicare Fraud Investigator January 2018 - January 2019 Used data analytics to find questionable patterns and/or discrepancies within submitted Medicare/Medicaid claims to prevent Fraud, Waste, and Abuse (FWA) of the ... - 2023 Jan 24
... SAFEGAURD SERVICES Contractual Medicare Fraud Investigator January 2018 - January 2019 Used data analytics to find questionable patterns and/or discrepancies within submitted Medicare/Medicaid claims to prevent Fraud, Waste, and Abuse (FWA) of the ... - 2023 Jan 24
Service Representative Administrative Assistant
Carrollton, GA
... monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement ●Trained staff on current Medicare regulations and guidelines Verified insurance and communicated coverage to staff and patient Maintained compliance with ... - 2022 Dec 28
... monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement ●Trained staff on current Medicare regulations and guidelines Verified insurance and communicated coverage to staff and patient Maintained compliance with ... - 2022 Dec 28
Entry Clerk Data
Fairburn, GA
... HISTORY • Verified new applications • Answer inbound calls • Data integrity • Review Medicare plans with new clients • Completed health assessments with clients Maintained high standards of customer service by building relationships with clients. ... - 2022 Dec 19
... HISTORY • Verified new applications • Answer inbound calls • Data integrity • Review Medicare plans with new clients • Completed health assessments with clients Maintained high standards of customer service by building relationships with clients. ... - 2022 Dec 19
Customer Service It Support
Atlanta, GA, 30349
... skills and knowledge of various computer systems daily in coordinating office operations Member Navigator • Clover Health Medicare Advantage, Remote 11/2020 - 06/2021 ● Onboarded and navigated members to clinical healthcare services ● Assisted ... - 2022 Nov 27
... skills and knowledge of various computer systems daily in coordinating office operations Member Navigator • Clover Health Medicare Advantage, Remote 11/2020 - 06/2021 ● Onboarded and navigated members to clinical healthcare services ● Assisted ... - 2022 Nov 27