| Resume alert | Resumes 11 - 20 of 192 |
Health Economics Market Access
Brookline, MA
... Impact on Health Resource Utilization Patterns Sept 2023 - Dec 2023 • Designed a retrospective study utilizing the SEER Medicare registry database to investigate the impact of colorectal cancer diagnosis on health resource utilization patterns in ... - Feb 19
... Impact on Health Resource Utilization Patterns Sept 2023 - Dec 2023 • Designed a retrospective study utilizing the SEER Medicare registry database to investigate the impact of colorectal cancer diagnosis on health resource utilization patterns in ... - Feb 19
Project Management Manager
Salem, NH
... Researched denials for Medicare, Medicaid, and other HMO's, Maintained denial spreadsheets and resubmitted claims. Experience with Keane Net Solutions, NEHEN, FISS System, and BICS. In addition, completed a Non-Paid 160 hour internship with North ... - Feb 06
... Researched denials for Medicare, Medicaid, and other HMO's, Maintained denial spreadsheets and resubmitted claims. Experience with Keane Net Solutions, NEHEN, FISS System, and BICS. In addition, completed a Non-Paid 160 hour internship with North ... - Feb 06
Product Designer Senior
Boston, MA
... Blue Cross Blue Shield of MA UX Lead 06/2017 - 01/2018 (Contract) ● Led the revamp of the Medicare Options Portal, enhancing user accessibility and engagement by 25% among BCBS members. Also pioneered the company's first online claims platform, ... - Jan 27
... Blue Cross Blue Shield of MA UX Lead 06/2017 - 01/2018 (Contract) ● Led the revamp of the Medicare Options Portal, enhancing user accessibility and engagement by 25% among BCBS members. Also pioneered the company's first online claims platform, ... - Jan 27
Therapy Services Home Care
Boston, MA
... Have experience in attending family care plan meetings, weekly medicare meetings as well as morning meeting with building staff. My top skills include my professionalism, honesty, integrity, customer service, organizational skills as well as multi ... - Jan 25
... Have experience in attending family care plan meetings, weekly medicare meetings as well as morning meeting with building staff. My top skills include my professionalism, honesty, integrity, customer service, organizational skills as well as multi ... - Jan 25
Information Systems Operations Manager
Revere, MA
... Update the molecular auth excel spreadsheet I use Vital ware to check Medicare medical necessity for labs. I review the daily Copath report for cytology and histology labs. Reconcile Mayo invoice for Moldx, FMISC labs with WQ2176. In EPIC I send in ... - 2023 Dec 27
... Update the molecular auth excel spreadsheet I use Vital ware to check Medicare medical necessity for labs. I review the daily Copath report for cytology and histology labs. Reconcile Mayo invoice for Moldx, FMISC labs with WQ2176. In EPIC I send in ... - 2023 Dec 27
Medical Billing Care Manager
Belmont, MA
... Knowledge of insurance guidelines, especially Medicaid and Medicare. Follow up in discrepancies for payment. Review of patient bills for accuracy and completeness. Posted to all accounts in a timely manner. Prior authorizations, as necessary. Use ... - 2023 Dec 27
... Knowledge of insurance guidelines, especially Medicaid and Medicare. Follow up in discrepancies for payment. Review of patient bills for accuracy and completeness. Posted to all accounts in a timely manner. Prior authorizations, as necessary. Use ... - 2023 Dec 27
Quality Assurance Health Care
Waltham, MA
Healthcare Underwriter Financial Underwriter Banking Operations & Management Collaborative Relationship Skills Professional Experience United HealthCare- Minnetonka, MN Medicare Senior Underwriter 2017–2023 Underwriter in both private & public ... - 2023 Dec 25
Healthcare Underwriter Financial Underwriter Banking Operations & Management Collaborative Relationship Skills Professional Experience United HealthCare- Minnetonka, MN Medicare Senior Underwriter 2017–2023 Underwriter in both private & public ... - 2023 Dec 25
Project Manager Software Development
Lowell, MA
... Investigate other Health Carriers to reduce time, costs and payment including Medicare and Medicaid. Effectively communicate analytic discoveries and results to senior staff both in writing and through presentations. April 2001 - April 2003 Project ... - 2023 Dec 15
... Investigate other Health Carriers to reduce time, costs and payment including Medicare and Medicaid. Effectively communicate analytic discoveries and results to senior staff both in writing and through presentations. April 2001 - April 2003 Project ... - 2023 Dec 15
Customer Service Data Entry
Boston, MA
... • Performed data entry for customer information • Managed client records efficiently • Assisted customers with a warm and professional attitude • Answered general questions on coverage • Proficient in MassHealth and Medicare software • Maintain an ... - 2023 Dec 12
... • Performed data entry for customer information • Managed client records efficiently • Assisted customers with a warm and professional attitude • Answered general questions on coverage • Proficient in MassHealth and Medicare software • Maintain an ... - 2023 Dec 12
Audit Manager/Consultant
Andover, MA
... in the area Engagement with IT and Revenue Cycle Operations to identify and correct issues Analyzed and managed close on Medicare, Medicaid, and private insurance revenue DISCOVER FINANCIAL SERVICES, Riverwoods, IL 2017-2019 Senior Compliance Tester ... - 2023 Dec 12
... in the area Engagement with IT and Revenue Cycle Operations to identify and correct issues Analyzed and managed close on Medicare, Medicaid, and private insurance revenue DISCOVER FINANCIAL SERVICES, Riverwoods, IL 2017-2019 Senior Compliance Tester ... - 2023 Dec 12