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Southfield, MI
... their claim Educate insureds on claim process and expectations Self-Employed October 2020- Present Insurance Agent Write Medicare Advantage plans with multiple carriers Solicit and Placement of Life insurance thru multiple carriers Provide Renters’ ...
- 2023 Dec 01
Dearborn, MI
... Member Service Representative Aetna - Detroit, MI November 2015 to April 2017 • Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors Medicare/Medicaid. • HEDIS tracking Pulling records, ...
- 2023 Nov 28
Detroit, MI
... Coordinator/ Case Manager Provided ongoing services to persons with intellectual and developmental disabilities Responsible for screening and assessment activities for clients Crisis intervention activities Scheduled meetings with Medicaid/Medicare; ...
- 2023 Nov 26
Detroit, MI
... Business Analyst BLUE CROSS AND BLUE SHIELD 10 2021 - 07 2022 • Provided benefit and claims processing information for Medicare Advantage members including commercial contracts for the State of Michigan, Auto and several City contract groups. ...
- 2023 Nov 22
Waterford, MI
... Accurately assigned the appropriate designated codes to each patient record, including Medicare, by reviewing the information provided on the anesthesia record, operative note and any other documentation utilizing ICD-9-CM and CPT-4 classification ...
- 2023 Nov 22
Dearborn, MI, 48126
... Experience: Manufacturing, Materials Management, Sales, Engineering, Plant Floor management, HealthCare- Medicaid, Medicare, Claims, Provider, Member Enrollment, Clinicals, HEDIS Technology: Databases: Oracle 9i, 10g, 11g, Oracle 12 Operating ...
- 2023 Nov 21
Detroit, MI
... ADMINISTRATION Claims Analyst / Billing Instructor / Claims Examiner / Health Insurance Software Trainer / Team Leader / Medicaid / Medicare/Membership and Billing Highly experienced in managed-care and health service administrative positions. ...
- 2023 Nov 16
Detroit, MI
... review proposals, conduct enrollment meetings, renewal processes, and compliance overviews Maintain an up-to-date comprehensive knowledge of carrier plan designs and processes, and Legislative policies and procedures (ACA, COBRA, Medicare,etc.) Oct. ...
- 2023 Nov 15
Westland, MI
... I am familiar with Medicare Program and the HIPAA guidelines. I verified insurance information, maintained and updated patient information. I researched patients claims and informed them of their co pay for their medications. I used the computer ...
- 2023 Nov 15
Detroit, MI
... IQIES/QAPI Data analyst HCHB Home Care Home Base software experience Insurance verification eligibility & benefits All Medicare & Medicaid Advantage plans & other private insurances HIPPS codes and retro authorization corrections & follow-up ...
- 2023 Nov 04