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Distance: Resume alert Resumes 1 - 10 of 38304

Healthcare Member Advocate & Claims Specialist

Fullerton, CA
... • About 50-75 call per day • Checked Medicare websites and our database to ensure member was eligible and routed information to Member services if information was not up to date • Verify the provider is in network with our plan and advise the ... - Jun 29

Customer Service & Operations Associate

Pittsburgh, PA
... • Determine employee eligibility • Dependent eligibility • Medicare Customer Service Representative TekwissenLLc - Remote April 2022 to October 2022 • 3rd party inbound/outbound customer service rep for Highmark Whole care. • Providing information ... - Jun 29

Experienced Healthcare Revenue Cycle Manager

Atlanta, GA
... Assist CFO in budget planning and Medicare reporting, ensuring financial precision. Recruit and train staff, cultivating a high-performance team environment. Enhance revenue cycle operations, reducing processing delays and increasing efficiency. ... - Jun 29

Board-Certified Palliative Care Nurse Practitioner

Kaneohe, HI
... and hospice nurse practitioner responsible for the physical, emotional, and spiritual needs of the patient and the family/caregiver through continued assessment of the eligibility requirements for participation in the Medicare Hospice program. ... - Jun 29

Medical Administrative Assistant & Customer Service

Philadelphia, PA
... Electronic Health Records (EHR), CMS 1500 claim forms, Medicare, and Medicaid. Medical ethics and compliance including HIPAA privacy and security guidelines. Deirdre Thurmond, Cont. Talon Professional Services, LLC/St. Luke’s Hospital 05/2024-08 ... - Jun 29

Healthcare Customer Service & Claims Specialist

Canoga Park, CA
... • Submit and track prior authorization requests across commercial, Medicare, and Medicaid payers, reducing average turnaround time from 72 hours to 48 hours through systematic follow-up protocols. • Document all patient interactions and clinical ... - Jun 29

Behavioral Health Care Coordinator w/33 years of experience in Health.

Chicago, IL
... Electronic Medical Record Documentation - Insurance Lookups via MyHFS, E-Care, Availity, and Medicare **ADMINISTRATIVE SKILLS** - KRONOS Timekeeping Medical Records Management - Appointment Scheduling Financial Assessments - Initiating SSI and P.A. ... - Jun 29

RCM Cash Posting and Reconciliation Specialist

Springfield, MA, 01109
... • Took billing calls, questions and concerns from patients and third-party carriers • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies • Identified discrepancies and carrier issues regarding billing ... - Jun 29

Healthcare Office Manager & Revenue Cycle Leader

Buford, GA
... and Optum systems ● Communicate directly with major insurers including Delta Dental, UnitedHealthcare, Aetna, BCBS, Medicaid, Medicare, Cigna, United Concordia, TRICARE, and ADDP ● Conduct staff training, onboarding, and performance reviews ● Lead ... - Jun 29

Insurance & Healthcare Risk Assessment Manager

Tiffin, OH
... • MEDICAID AND MEDICARE SPEICIALIST 08/2018 to 05/2020 Dialog Direct, Irving, Texas Provided consulting services to over 3500 individuals on various career-related issues and communicated with clients to determine needs and goals. • • Interviewed ... - Jun 29
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