| Resume alert | Resumes 21 - 30 of 386 |
Project Management Customer Service
Redford Charter Township, MI
SHONFONYA DIONNE HARRELL 734-***-**** shonfonyadharrell@gmail SUMMARY: Pharmacy/ HealthCare Professional with over twenty (20) years of experience in Outpatient/Inpatient Pharmacy Services, HMO, Medicare medical and pharmacy claims processing and ... - Feb 15
SHONFONYA DIONNE HARRELL 734-***-**** shonfonyadharrell@gmail SUMMARY: Pharmacy/ HealthCare Professional with over twenty (20) years of experience in Outpatient/Inpatient Pharmacy Services, HMO, Medicare medical and pharmacy claims processing and ... - Feb 15
Account Manager Network Administrator
Detroit, MI
... TERRELL PROFESSIONAL SUMMARY • A healthcare professional with experience in Medicare and Medicaid Compliance • 15+ years of extensive knowledge and experience with medical claims and provider systems • BCBS roles included Sr. Benefits Analyst, ... - Feb 05
... TERRELL PROFESSIONAL SUMMARY • A healthcare professional with experience in Medicare and Medicaid Compliance • 15+ years of extensive knowledge and experience with medical claims and provider systems • BCBS roles included Sr. Benefits Analyst, ... - Feb 05
Customer Service Medical Office
Detroit, MI
... Medical Records HIPAA Compliance Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding Medical Billing Medical Office Medical ... - Jan 31
... Medical Records HIPAA Compliance Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding Medical Billing Medical Office Medical ... - Jan 31
Insurance Verification/Authorization Specialist
Roseville, MI
... private health insurances through Medicaid, Medicare, Aetna, Blue Cross Blue Shield, Medicare Plus Blue, HAP, Priority Health to name a few * Experience with obtaining prior approval from insurance providers verbally, online, fax or through portals. ... - Jan 31
... private health insurances through Medicaid, Medicare, Aetna, Blue Cross Blue Shield, Medicare Plus Blue, HAP, Priority Health to name a few * Experience with obtaining prior approval from insurance providers verbally, online, fax or through portals. ... - Jan 31
Project Manager Information Technology
Macomb, MI, 48044
... He has worked with drug utilization review / fraud and abuse systems, third party prescription plans, government health programs, patient medication safety programs, one-line claim adjudication, electronic health records (EHR), Medicare Part D & ... - Jan 28
... He has worked with drug utilization review / fraud and abuse systems, third party prescription plans, government health programs, patient medication safety programs, one-line claim adjudication, electronic health records (EHR), Medicare Part D & ... - Jan 28
Prior Authorization Business Operations
Detroit, MI
... Investigate, recover, and resolve all types of claims as well as recovery and resolution for all health plans ( Medicare, Veterans, government entities, contractual agreements statewide etc.) Investigate and pursue recoveries and payables on ... - Jan 25
... Investigate, recover, and resolve all types of claims as well as recovery and resolution for all health plans ( Medicare, Veterans, government entities, contractual agreements statewide etc.) Investigate and pursue recoveries and payables on ... - Jan 25
Performance Analyst Quality
Detroit, MI
... 1991 – 1995 Pricer 7 Professional Service Claims Department Direct data-entry of claims, medical terminology, coding all types of services, adjustments, status inquiries, complimentary claims (Medicare), transmittals, applying valid deductibles ... - Jan 15
... 1991 – 1995 Pricer 7 Professional Service Claims Department Direct data-entry of claims, medical terminology, coding all types of services, adjustments, status inquiries, complimentary claims (Medicare), transmittals, applying valid deductibles ... - Jan 15
Customer Service Representative
Southfield, MI
... Ensure That all Medicare Audits are passed, and office is completely clean. Review insurance policies to determine coverage for 60 patients for orthopedic and prosthetic supplies and item. Contact insured or other involved persons to obtain missing ... - Jan 12
... Ensure That all Medicare Audits are passed, and office is completely clean. Review insurance policies to determine coverage for 60 patients for orthopedic and prosthetic supplies and item. Contact insured or other involved persons to obtain missing ... - Jan 12
Quality Assurance Scrum Master
Novi, MI
... Certified Scrum Master Proficient in Agile framework Recent experiences in health care – Medicare and Medicaid solutions Expertise Expertise Years of Expertise Relevant Technical Expertise: User Environment: Windows, .NET, UNIX/Linux, Mainframe ... - Jan 11
... Certified Scrum Master Proficient in Agile framework Recent experiences in health care – Medicare and Medicaid solutions Expertise Expertise Years of Expertise Relevant Technical Expertise: User Environment: Windows, .NET, UNIX/Linux, Mainframe ... - Jan 11
Zumba Instructor Office Manager
Waterford, MI
... Responsible for the coordination of Medicaid and Medicare services. Organizing materials for trainings including registration, room prep and catering. References Available Upon Request - Jan 10
... Responsible for the coordination of Medicaid and Medicare services. Organizing materials for trainings including registration, room prep and catering. References Available Upon Request - Jan 10