| Resume alert | Resumes 1 - 8 of 8 |
Physician Assistant Medical
Puerto Rico
... · Conducted records review and preparation for Healthcare Effectiveness Data and Information Set (HEDIS) compliance audit and Medicare and Medicaid Star Quality Rating System Inspection EDUCATION 2007 - 2013 Medicine, Santo Domingo DR, Universidad ... - 2020 Sep 16
... · Conducted records review and preparation for Healthcare Effectiveness Data and Information Set (HEDIS) compliance audit and Medicare and Medicaid Star Quality Rating System Inspection EDUCATION 2007 - 2013 Medicine, Santo Domingo DR, Universidad ... - 2020 Sep 16
Physician Assistant Medical
Ponce, Puerto Rico
... Alberto Torres, Utuado, Puerto Rico 2017-present Physician Assistant and Office Administrator I am in charge of improving medicare patient’s care. - Monitor HEDIS patient compliance. - Oversee medical record patient diagnosis codification. - Oversee ... - 2020 Jul 26
... Alberto Torres, Utuado, Puerto Rico 2017-present Physician Assistant and Office Administrator I am in charge of improving medicare patient’s care. - Monitor HEDIS patient compliance. - Oversee medical record patient diagnosis codification. - Oversee ... - 2020 Jul 26
Medical Management/Utilization Management
Ponce, Puerto Rico
... Establishing more accurate Utilization Review and case management Processes to comply with all of Medicare and Medicaid’s rules and regulations. Achieved a 40% success rate on Utilization Reviews Appeal Process Responsibilities: Managing the ... - 2018 Aug 26
... Establishing more accurate Utilization Review and case management Processes to comply with all of Medicare and Medicaid’s rules and regulations. Achieved a 40% success rate on Utilization Reviews Appeal Process Responsibilities: Managing the ... - 2018 Aug 26
Human Resources Microsoft Office
Ponce, Puerto Rico
... Designing benefits packages to customers, quoting, analyze Health Plan coverage and benefits, Long & Short Term, retirement plans, group life etc Training coordinator, schedule & coordinate compliance, Medicare,sales & mandatory company’s trainings ... - 2018 Mar 12
... Designing benefits packages to customers, quoting, analyze Health Plan coverage and benefits, Long & Short Term, retirement plans, group life etc Training coordinator, schedule & coordinate compliance, Medicare,sales & mandatory company’s trainings ... - 2018 Mar 12
Medical Billing
Utuado, 00611, Puerto Rico
... Submit commercial/Medicare claims electronically daily via WebMD/Jobsoft. Mail hard copy claims w/appropriate documentation; referrals, office notes & op reports Post payments for 4 practices; manually & electronically. Bill 2nd & 3rd party payors; ... - 2016 Nov 03
... Submit commercial/Medicare claims electronically daily via WebMD/Jobsoft. Mail hard copy claims w/appropriate documentation; referrals, office notes & op reports Post payments for 4 practices; manually & electronically. Bill 2nd & 3rd party payors; ... - 2016 Nov 03
Management Manager
Puerto Rico
... Developed digital reporting management systems for Finance Division, electronic transmissions and subscription areas using COBOLII, CICS, and Easytrieve meeting CMS (Centers for Medicare and Medicaid Services) regulatory compliance guidelines. ... - 2016 Oct 30
... Developed digital reporting management systems for Finance Division, electronic transmissions and subscription areas using COBOLII, CICS, and Easytrieve meeting CMS (Centers for Medicare and Medicaid Services) regulatory compliance guidelines. ... - 2016 Oct 30
Assistant Management
Puerto Rico
... #DM 17646-1 • CPR Cer fied PROFESIONAL AFFILIATIONS • Ac ve provider of Medicare Advantage Health Insurance in Puerto Rico • Ac ve provider of all Commercial Health Insurance in Puerto Rico • Ac ve Member Puerto Rico College of Physicians-Surgeon - 2016 Aug 31
... #DM 17646-1 • CPR Cer fied PROFESIONAL AFFILIATIONS • Ac ve provider of Medicare Advantage Health Insurance in Puerto Rico • Ac ve provider of all Commercial Health Insurance in Puerto Rico • Ac ve Member Puerto Rico College of Physicians-Surgeon - 2016 Aug 31
Sales Manager
Puerto Rico
... 2010 ADVOCATE HEALTH LLC, San Juan, PR Sales Manager In charge of the Humana Medicare Delegated sales force. Strong working knowledge of employee benefits. Responsible for the review, submission, and management of regulated (CMS, ASES and HUMANA ... - 2014 Jun 01
... 2010 ADVOCATE HEALTH LLC, San Juan, PR Sales Manager In charge of the Humana Medicare Delegated sales force. Strong working knowledge of employee benefits. Responsible for the review, submission, and management of regulated (CMS, ASES and HUMANA ... - 2014 Jun 01