| Resume alert | Resumes 1 - 10 of 152 |
Nursing Facility Accounts Payable
Port Deposit, MD
... Skilled in Medicaid, Medicare and Managed Care. Current knowledge of insurance payer requirements for referrals, and pre-authorizations. Strong customer skills and center relations. PC proficiency and a medical terminology background. Complete all ... - Apr 17
... Skilled in Medicaid, Medicare and Managed Care. Current knowledge of insurance payer requirements for referrals, and pre-authorizations. Strong customer skills and center relations. PC proficiency and a medical terminology background. Complete all ... - Apr 17
Mainframe Developer Six Sigma
Media, PA
... 2016-10/2016) Mainframe Developer: Performing immediate software changes & release maintenance within CMS (Centers for Medicare & Medicaid Services), including Common Working File (CWF) systems with software development, testing, and implementation. ... - Apr 03
... 2016-10/2016) Mainframe Developer: Performing immediate software changes & release maintenance within CMS (Centers for Medicare & Medicaid Services), including Common Working File (CWF) systems with software development, testing, and implementation. ... - Apr 03
Senior Living Clinical Liaison
Wilmington, DE, 19808
... Responsible for obtaining Medicare SNF Certifications and issuing Medicare Notice of Non-coverage. Responsible for follow-up and communication with Medicaid case workers for all Medicaid pending. DECEMBER 2014 – JANUARY 2016 DIRECTOR OF ADMISSIONS, ... - Mar 22
... Responsible for obtaining Medicare SNF Certifications and issuing Medicare Notice of Non-coverage. Responsible for follow-up and communication with Medicaid case workers for all Medicaid pending. DECEMBER 2014 – JANUARY 2016 DIRECTOR OF ADMISSIONS, ... - Mar 22
Agile Coach
West Chester, PA
... VOLT TECHNICAL RESOURCES – AMERIHEALTH CARITAS OCT 2011 – JUN 2014 Senior Project Manager, Medicare Advantage Start-up Medicare business of ten plans in seven states including Dual Special Needs Plans (DSNP), Medicare Advantage Plans (MAPD) and ... - Mar 04
... VOLT TECHNICAL RESOURCES – AMERIHEALTH CARITAS OCT 2011 – JUN 2014 Senior Project Manager, Medicare Advantage Start-up Medicare business of ten plans in seven states including Dual Special Needs Plans (DSNP), Medicare Advantage Plans (MAPD) and ... - Mar 04
Data Entry High School
Wilmington, DE, 19801
... team member ●Accurately complete log scan transfers, Web MD denials ●Generate monthly AR reports and provides to upper management on cash flow forecast ●Obtain dollar amount of Medicare checks for over 30 practice ●REFERENCES: Available upon request - Feb 23
... team member ●Accurately complete log scan transfers, Web MD denials ●Generate monthly AR reports and provides to upper management on cash flow forecast ●Obtain dollar amount of Medicare checks for over 30 practice ●REFERENCES: Available upon request - Feb 23
Medical Coder
Paoli, PA, 19301
... Navigated rehabilitation denials and insurance authorization with Medicare and commercial payers • Helped to develop an aggressive triage program for addressing Inpatient PT orders to improve efficiency and reduce qualifying length of stay • ... - Feb 16
... Navigated rehabilitation denials and insurance authorization with Medicare and commercial payers • Helped to develop an aggressive triage program for addressing Inpatient PT orders to improve efficiency and reduce qualifying length of stay • ... - Feb 16
Customer Service Insurance Agent
Penns Grove, NJ
... Insurance Agent - Insurance agent, licensed to sell insurance products in NJ and PA - Includes: o Annuities o Long Term Care o Life Insurance o Retirement Income o Medicare Supplementary Plans - Work involves meeting with clients in home or office. ... - Feb 11
... Insurance Agent - Insurance agent, licensed to sell insurance products in NJ and PA - Includes: o Annuities o Long Term Care o Life Insurance o Retirement Income o Medicare Supplementary Plans - Work involves meeting with clients in home or office. ... - Feb 11
System Validation It Project
Brookside, DE, 19713
... Responsible for maintaining physician licensure and certificate of medical necessity documentation Maintenance of Medicare qualification files Additional Work History and Education available upon request - Jan 29
... Responsible for maintaining physician licensure and certificate of medical necessity documentation Maintenance of Medicare qualification files Additional Work History and Education available upon request - Jan 29
Pharmacy Services Vice President
Brookhaven, PA
... Increased payer network status: Commercial insurers- 100%, Tricare- 200%, Medicaid- 200%, Medicare Part D- 30%. • Supported the marketing and sale of the company twice, in 2011 for a sale price of $33M and in 2016 for $75M. • Increased industry ... - Jan 27
... Increased payer network status: Commercial insurers- 100%, Tricare- 200%, Medicaid- 200%, Medicare Part D- 30%. • Supported the marketing and sale of the company twice, in 2011 for a sale price of $33M and in 2016 for $75M. • Increased industry ... - Jan 27
Health Care Automation Engineer
West Chester, PA
... PBMs are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. By negotiating with drug manufacturers and pharmacies to control drug spending Responsibilities: ... - Jan 11
... PBMs are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. By negotiating with drug manufacturers and pharmacies to control drug spending Responsibilities: ... - Jan 11