| Resume alert | Resumes 1 - 10 of 289 |
Business Analyst Digital Marketing
Antioch, TN
... pilots which are part of Adaptive Constituent Experience Technology as today Optum, Employer and Individual (E&I), Medicare and Retirement (M&R) and Community and State (C&S) businesses all of them have different desktop service centre tools. ... - May 08
... pilots which are part of Adaptive Constituent Experience Technology as today Optum, Employer and Individual (E&I), Medicare and Retirement (M&R) and Community and State (C&S) businesses all of them have different desktop service centre tools. ... - May 08
Customer Service Team Member
Lebanon, TN
... [August 9, 2021- February 4, 2022] Application Case Specialist New Business Case Management- Aetna Review incoming Medicare applications to determine which enrollment period the application is in. Communicate with agents to get the proper ... - May 03
... [August 9, 2021- February 4, 2022] Application Case Specialist New Business Case Management- Aetna Review incoming Medicare applications to determine which enrollment period the application is in. Communicate with agents to get the proper ... - May 03
Customer Service Data Entry
Nashville, TN
... patient charts, receive and track referrals, and doctor orders, data entry, communicate with case managers, and admissions Upheld strict confidentiality standards regarding patient information in compliance with HIPAA and Medicare regulations. ... - Apr 30
... patient charts, receive and track referrals, and doctor orders, data entry, communicate with case managers, and admissions Upheld strict confidentiality standards regarding patient information in compliance with HIPAA and Medicare regulations. ... - Apr 30
Utilization Management Case Manager
Franklin, TN
... Medicare, Workers Compensation. OB, CPC. Raise. State of Tennessee 2006-2008 Health Records Auditor, RN3 Audit records using specific audit tools. Monitors medical records for compliance with local, state, and federal requirements, including ACA ... - Apr 30
... Medicare, Workers Compensation. OB, CPC. Raise. State of Tennessee 2006-2008 Health Records Auditor, RN3 Audit records using specific audit tools. Monitors medical records for compliance with local, state, and federal requirements, including ACA ... - Apr 30
Project Manager
Murfreesboro, TN
... examples include the Consolidated Appropriations Act of 2020/Non- Par Provisions, state level mandates for non-participating provider legislation, Massachusetts and New York State Surcharge, Medicare Reclamation, Medicare Sequestration, Mid-Level ... - Apr 29
... examples include the Consolidated Appropriations Act of 2020/Non- Par Provisions, state level mandates for non-participating provider legislation, Massachusetts and New York State Surcharge, Medicare Reclamation, Medicare Sequestration, Mid-Level ... - Apr 29
Project Manager Management
Franklin, TN
... This led to improved communications across teams and 20% improvement of outcomes Project Management for Medicare IT, working with Technology Team using Mulesoft to integrate with marketing, business, Medicare Advantage membership and technology ... - Apr 17
... This led to improved communications across teams and 20% improvement of outcomes Project Management for Medicare IT, working with Technology Team using Mulesoft to integrate with marketing, business, Medicare Advantage membership and technology ... - Apr 17
Accounts Receivable Data Entry
Antioch, TN
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Handled 150 cases per day Claims Specialist, 07/2018 - 09/2018 Kemberton Records Management Llc Conducted annual reviews ... - Mar 23
... Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments. Handled 150 cases per day Claims Specialist, 07/2018 - 09/2018 Kemberton Records Management Llc Conducted annual reviews ... - Mar 23
Human Resource Customer Service
Murfreesboro, TN
... Daniels Yoni Daniels 438 E Windellwood Circle Smyrna, TN 37167 ad4gpr@r.postjobfree.com - 615-***-**** WORK EXPERIENCE ELEVANCE HEALTH – August 2023 – present Working as Customer Service Representative in the GBD with Medicare and Medicaid ... - Mar 20
... Daniels Yoni Daniels 438 E Windellwood Circle Smyrna, TN 37167 ad4gpr@r.postjobfree.com - 615-***-**** WORK EXPERIENCE ELEVANCE HEALTH – August 2023 – present Working as Customer Service Representative in the GBD with Medicare and Medicaid ... - Mar 20
Medical Claims Customer Service
Nashville, TN
... Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020: • Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers. • Proficient with web portals like Availity, client systems, and ... - Feb 26
... Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020: • Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers. • Proficient with web portals like Availity, client systems, and ... - Feb 26
Patient Care Manager
Antioch, TN
... Medical Reviewer III December 2011 to August 2014 • Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines using Medicare guidelines and ICD coding. ... - Feb 23
... Medical Reviewer III December 2011 to August 2014 • Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines using Medicare guidelines and ICD coding. ... - Feb 23