Winston-Salem, NC
... Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Basic Coding Skills for ICD-10 & CPT Insurance Verification Anatomy & Physiology EDUCATION Ultimate ...
- Apr 23
Montclair, NJ
... Areas of Expertise Client interaction, Billing, Appointment Scheduling, Medicare coding and eligibility/benefits, Proficient in Microsoft Word, Excel, PowerPoint, Outlook and Office, Trainer for new employees, Strong customer skills, Multi-tasking ...
- Apr 23
New Brunswick, NJ
... Value Based Care (VBC) Attribution Responsible for the attribution/mapping of Commercial and Medicare members across various value-based care deals such as PCMH, ACO and Medicare collaborative Generating weekly and monthly Member statistics reports. ...
- Apr 23
Pittsburgh, PA
... ●CMS approved for Medicare and Medicaid Systems/UB Forms, knowledge of policies and procedures as it relates to grievances and appeals. ●Ensured medical claims were processed accurately,timely managed multiple high-volume calls by phone, chat and ...
- Apr 23
Nutley, NJ, 07110
... skills • Bookkeeping • Financial statement preparation • • Anatomy knowledge • Leadership • QuickBooks • Home health • Medicare • Process improvement • DRG • • Financial data reconciliation • Medical billing payment report preparation • CRM system ...
- Apr 23
Indianapolis, IN
... provides managed care services exclusively for government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, aged, blind and disabled, ...
- Apr 23
Jacksonville, FL
... Work Experience Customer Service Representative (Tier 1, Tier 2, ISG) Maximus Federal (Healthcare.gov / Medicare) November 2021 – March 2026 ● Handled high-volume inbound calls assisting customers with Healthcare.gov and Medicare inquiries ● ...
- Apr 23
Memphis, TN
... • Contact federal (Medicare, TRICARE), state (Medicaid), and private health insurance companies for lien information. • Focuse on proficiency following Medicaid guidelines. • Gain higher level of communication and negotiation skills to prevent and ...
- Apr 23
Fairborn, OH
... Processed insurance claims for patients through Medicare and Medicaid. Terminated pharmaceutical services on patient’s accounts that were 120 days or more with no payment or insurance resolution. Performed daily Quality Assurance Monitoring of ...
- Apr 22
Lenoir, NC
LAQUANA MOORE Charlotte NC[ 980-***-**** ***************@*****.*** SUMMARY OF QUALIFICATIONS ●Licensed insurance agent ●3+ years of experience in Life, Health and MedicareInsurance ●Dedicated Customer Service Representative with [10]of experience...
- Apr 22