| Distance: | Resume alert | Resumes 1 - 10 of 38306 |
Certified Clinical Medical Assistant & Triage
Glendale, AZ
... copay collection, and referral processing Regulatory Compliance: HIPAA regulations, HEDIS quality guidelines, Centers for Medicare & Medicaid Services (CMS) regulations, patient confidentiality (PHI), and standard operating procedures (SOPs) ... - Jun 30
... copay collection, and referral processing Regulatory Compliance: HIPAA regulations, HEDIS quality guidelines, Centers for Medicare & Medicaid Services (CMS) regulations, patient confidentiality (PHI), and standard operating procedures (SOPs) ... - Jun 30
Senior Managed Care Network Executive
Randallstown, MD
... • Oversight for Health Care Exchange, Medicare FIDA, and MLTC expansion and SNP. • Negotiated gain share, bundled payment and full risk agreements. KAISER PERMANENTE, MAS, Rockville, Maryland 8/2008 –3/ 2011 Senior Contract Manager, Provider Affairs ... - Jun 30
... • Oversight for Health Care Exchange, Medicare FIDA, and MLTC expansion and SNP. • Negotiated gain share, bundled payment and full risk agreements. KAISER PERMANENTE, MAS, Rockville, Maryland 8/2008 –3/ 2011 Senior Contract Manager, Provider Affairs ... - Jun 30
Administrative & Claims Data Entry Specialist
Jacksonville, FL
... CORE SKILLS Claims Processing Documentation Review Data Accuracy & Validation Excel, Word, Outlook Database & Records Management HIPAA & Medicare Compliance Client Communication Time Management & Organization PROFESSIONAL EXPERIENCE Customer Service ... - Jun 30
... CORE SKILLS Claims Processing Documentation Review Data Accuracy & Validation Excel, Word, Outlook Database & Records Management HIPAA & Medicare Compliance Client Communication Time Management & Organization PROFESSIONAL EXPERIENCE Customer Service ... - Jun 30
Human Resources Benefits & Wellness Lead
Margate, FL
... CORE COMPETENCIES Benefits Administration Open Enrollment Management ACA/ERISA/COBRA/HIPAA Compliance FMLA & Leave of Absence (LOA) Coordination HSA/FSA/401(k) Operations Medicare & Medicaid Processing HRIS Configuration & Integration (ADP Workforce ... - Jun 30
... CORE COMPETENCIES Benefits Administration Open Enrollment Management ACA/ERISA/COBRA/HIPAA Compliance FMLA & Leave of Absence (LOA) Coordination HSA/FSA/401(k) Operations Medicare & Medicaid Processing HRIS Configuration & Integration (ADP Workforce ... - Jun 30
Insurance & Financial Services Sales Consultant
Miami, FL
... Insurance Agent (Remote), 09/2021 to 12/2021 Sitel – Florida Worked on projects for United Health Care Medicare Advantage. Scheduled fact-finding appointments and consultations to determine client needs and overall financial situations. Determined ... - Jun 30
... Insurance Agent (Remote), 09/2021 to 12/2021 Sitel – Florida Worked on projects for United Health Care Medicare Advantage. Scheduled fact-finding appointments and consultations to determine client needs and overall financial situations. Determined ... - Jun 30
Customer Service & Administrative Support Professional
Miami, FL
... • Handle all project information as well as entering the information into the system Customer Service/Medicare Fronter One Source Health Enrollments-Pembroke Pines, FL September 2021 to April 2022 • Enter information about clients into the system. ... - Jun 30
... • Handle all project information as well as entering the information into the system Customer Service/Medicare Fronter One Source Health Enrollments-Pembroke Pines, FL September 2021 to April 2022 • Enter information about clients into the system. ... - Jun 30
Legal & Contract Compliance Coordinator
Cockeysville, MD
... employee records COMPLIANCE/STAFF ANALYST MYERS AND STAUFFER MAY 2023 – NOVEMBER 2023 · Conducted healthcare compliance audits involving contract review, regulatory analysis, and operational assessments for Medicaid and Medicare entities. ... - Jun 30
... employee records COMPLIANCE/STAFF ANALYST MYERS AND STAUFFER MAY 2023 – NOVEMBER 2023 · Conducted healthcare compliance audits involving contract review, regulatory analysis, and operational assessments for Medicaid and Medicare entities. ... - Jun 30
CPAP & DME Customer Support Representative
Miami, FL
... Patient Records / EHR Documentation, Collections Software • Compliance & Industry Knowledge: CMS / HIPAA Compliance, Medicare Call Support, CPAP / DME Patient Support PROFESSIONAL EXPERIENCE American Service Pets Jan 2026 – Present Sales Agent ... - Jun 30
... Patient Records / EHR Documentation, Collections Software • Compliance & Industry Knowledge: CMS / HIPAA Compliance, Medicare Call Support, CPAP / DME Patient Support PROFESSIONAL EXPERIENCE American Service Pets Jan 2026 – Present Sales Agent ... - Jun 30
Customer Service Representative (Healthcare & Medicare)
Orlando, FL
... • Assisted with Medicare Part C (Medicare Advantage) and Part D (Prescription Drug Coverage), providing detailed information and guiding customers through the enrollment process. • Verified customer eligibility for various services and benefits, ... - Jun 30
... • Assisted with Medicare Part C (Medicare Advantage) and Part D (Prescription Drug Coverage), providing detailed information and guiding customers through the enrollment process. • Verified customer eligibility for various services and benefits, ... - Jun 30
Healthcare Data & Billing Operations Specialist
Pittsburgh, PA
... CORE SKILLS Data Entry & Validation • Quality Assurance • Billing & Claims Support• Accuracy • Accounts Reconciliation • Collections & Payment Follow-Up• Client Facing Support Healthcare Compliance (HIPAA, Medicare) • Audit Review• Compliance ... - Jun 30
... CORE SKILLS Data Entry & Validation • Quality Assurance • Billing & Claims Support• Accuracy • Accounts Reconciliation • Collections & Payment Follow-Up• Client Facing Support Healthcare Compliance (HIPAA, Medicare) • Audit Review• Compliance ... - Jun 30