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Resumes 31 - 40 of 425 |
Sanford, FL
... Have strong background in Software Development life cycle process and domain knowledge of US Liability Insurance and Medicare/Medicaid Insurance. Overall experience helped me acquire good communication skills, management skills and strong problem ...
- Jan 30
Orlando, FL
... Papers EDUCATION Florida Career College, Orlando fl March 2021 Medical Front Office Billing and Coding ● Acquainted with Medicare rules and regulations ● Knowledge of Appointments ● Knowledge of Codes ● Knowledge of Hippa Regulations WORK EXPERIENCE ...
- Jan 23
Winter Garden, FL
... Sept 2017● Coordinate access to care and assist to resolve barriers to care ● Provider and member education regarding HMP< PPO, Medicare,Medicaid MMA and Commercial Plans ● Inbound call ine intake of cases related to access to care: example include ...
- Jan 22
Orlando, FL
... Medical Laws & Ethics CMS1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Basic Coding Skills for ICD-10 & CPT Insurance Verification Anatomy & Physiology Work Experience ...
- Jan 18
Orlando, FL
... • Developed and administered policies/procedures to ensure compliance and regulatory requirements associated with Medicare/Medicaid, Private insurance reimbursement, Joint Commission, and the State of Kansas. • Responsible for overall personnel ...
- Jan 13
Orlando, FL
... InterQual, ICD 9 and 10 coding, ICare Path, PEGA, and Xceyls EXPERIENCE CENTENE CORPORATION, ORLANDO FL 06/2021 - Present Medicare Appeals Review Nurse (Wellcare) Reviewed charts in ICare Path and PEGA systems, utilized various vendors to process ...
- Jan 13
Orlando, FL
... SEPTERMBER 2009 – AUGUST 2014 CUSTOMER SERVICE REPRESENTATIVE, CONNEXTIONS Receive inbound calls from existing Medicare customers to assist with plan questions, benefit information, in network doctor and covered services, prescriptions and ...
- Jan 10
Altamonte Springs, FL
... Office Supervisor Dec 2017-Oct 2018 Serving both Medicare and Medicaid patients, planned and directed the work of professional and support personnel who provided outpatient care in a clinical setting under the direction of the Center Manager. ...
- 2023 Dec 22
Clermont, FL
... RIVER SPRING AT HOME/BRONX, NY MLTC October 2013- Present Provide Education to member of MLTC/MAP/ISNIP/Medicaid and Medicare Advantage programs Navigate patient plan of care-implement by a nurse care manager Conduct daily and monthly member ...
- 2023 Dec 15
Orlando, FL
... Professional Experience: CVS/Aetna September 2021-October 2023 •Medicare Service Operations CSR/ Promoted to Administrative Assistant to Manager of CSO MSO Medicare Service Operations, Customer Service Representative •Handling Medicare service ...
- 2023 Dec 13