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Boston, MA
... Extensive background in auditing, coding, data entry, training, and Center for Medicare & Medicare (CMS) regulations. Dynamic leader, recognized for outstanding team-building and managing diverse projects simultaneously. Clinical Administrator ...
- 2023 Oct 06
Andover, MA
... Physician Assistant, part-time, Boston Neurobehavioral Assoc., Worcester, MA 05/2019-07/2020 Responsible for medication management of various mental illnesses in an outpatient setting Large percentage of patients with Medicaid and Medicare. ...
- 2023 Sep 18
Boston, MA
... Possess Strong Knowledge of Tufts Health Plan Medicare Preferred products and services to identify customers qualifying needs. Make outgoing calls to potential customers to schedule quality leads for sales. Document all calls and emails per ...
- 2023 Sep 08
Boston, MA
... tracked supply usage and materials demand Administrative Coordinator (1999 – 2002) Conducted Medicare audits by tracking billing and treatment plan compliance; reduced revenue loss from 60% to 10% EDUCATION, CERTIFICATIONS, AND AFFILIATIONS ...
- 2023 Aug 31
Brookline, MA
... • Worked on 900K+ Humana’s client records, to predict which Medicare Insurance members could be housing insecure with an AUC-ROC score of 0.76 using XGboost classifier and identified key variables to provide data-driven strategic insights. • ...
- 2023 Aug 18
Lawrence, MA, 01840
... SKILL HIGHLIGHTS I maintain strict confidentially following complete HIPAA compliance Extensive knowledge of HMOs, Medicare, Masshealth, PPOs etc. Very familiar with several medical billing softwares Team player with a positive attitude Focused on ...
- 2023 Jul 17
Lynn, MA, 01902
... KEY QUALIFICATIONS Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical ...
- 2023 Jun 13
Boston, MA
... 2017 CUSTOMER SERVICE REP (CONTRACT), tufts health plan ●Maintained detailed knowledge of all current Tufts Health Plan Medicare Preferred benefits and coverage options ●Responsible for accurate communication of Tufts information to all callers and ...
- 2023 May 26
Nashua, NH
... Customer service skills Create census sheets, and invoicing for my sites and prepare to bill Bill claims for Mass Health, Medicare, and other payer's Create new payment batches Verifying batches and remittance advice Manually posting new payments ...
- 2023 Apr 23
East Kingston, NH
... Skills ●Excellent Phone Skills ●Good time management skills and self-directed ●Knowledge of contracting process, Medicare fee schedules ●Ability to analyze information and formulate effective plans for using information ●Established and ...
- 2023 Apr 20