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D Street / West Broadway, MA, 02298
... billing errors, co-pay errors and r-submitted the corrected EOB to insurance companies Dealt with insurance companies on issues involving Medicare program guidelines as well as denied and delayed payments EDUCATION: April, 2008 The Salter School. ...
- 2021 Sep 15
Newburyport, MA, 01950
... Monitor, oversees and directs quality and appropriateness of all documentation to insure compliant with JCAHO, State Licensing Medicare standards applicable to nursing service. Completes all annual performance evaluations with staff. Also ...
- 2021 Jun 17
Brookline, MA
... Greeting customers and gathering personal health information ● Authorizing and submitting insurance claims through VSP, Medicare, Eyemed, Humana and Unitedhealthcare ● Proficiency in: RevoluationEHR software and Demanforce software Community Living ...
- 2021 Jun 03
Exeter, NH
... ● HCPro Medicare Bootcamp, complete billing and payment knowledge of Medicare – October 2010 ● M.S in Healthcare Administration - New England College – 2006 o Thesis – Create a Policy and Procedures manual for Patient Accounts Departments ● B.S. ...
- 2021 Apr 25
North Billerica, MA, 01862
... Perform Case Conferences with team at the start and end of each episode Screen patient referrals per Medicare guidelines and appropriateness for the agency Central Home Healthcare, Newton, MA — Clinical Manager/Quality Assurance Nurse April 2014 - ...
- 2021 Mar 21
Boston, MA
... Data Warehouse & Business Intelligence (SQL Server, Talend, SSIS, Power BI) Jan 20 - Apr 20 • Built an enterprise Data warehouse to integrate Medicare data of healthcare providers payments, utilizations, OPR’s. • Profiled data and generated reports ...
- 2021 Mar 08
Boston, MA
... Big Data Medical Care Fraud Detection – Link (Apache Spark, Azure, Google Big Query, Tableau, Power BI) Jun 2020 • Preprocessed three different Medicare datasets containing 30 million rows applying Apache Spark & Google BigQuery. • Constructed final ...
- 2021 Feb 27
Boston, MA
... activities including project management, task distribution and management, the client meets, weekly reporting and Tech-Support MediCare - Request Scheduling and Management Dashboard (Spring MVC, MySQL, Hibernate) April 2020 – August 2020 • Crafted a ...
- 2021 Feb 21
Boston, MA
... Regression & Random Forest as main models ●Analyzed the performance of various healthcare providers by using the 2016 US Medicare Current Beneficiary Survey (MCBS) Public Use File, covering racial disparity in ability to pay for care, & gender ...
- 2021 Feb 01
Roxbury, MA, 02120
... ACADEMIC PROJECTS Medicare Providers Data Warehouse (Tools Used: SSIS, SQL, Power BI, SSAS, R, ER-Studio) January 2020 – May 2020 Profiled Medicare data using SSIS and created a snow-flake schema using ER-Studio to understand the required facts and ...
- 2020 Nov 29