| Distance: | Resume alert | Resumes 1 - 10 of 38232 |
Insurance Claims Specialist with BCBS Experience
Springfield, IL
... • Adjust claims if the information was processed incorrectly, or advised claim was paid correctly per member benefits • Process Medicare and non-Medicare claims • Provide timely processing and adjudication of claims • Examine claims that came from ... - Jun 08
... • Adjust claims if the information was processed incorrectly, or advised claim was paid correctly per member benefits • Process Medicare and non-Medicare claims • Provide timely processing and adjudication of claims • Examine claims that came from ... - Jun 08
Accountant/ HR
McKinney, TX
... Cincinnati State – Associate Degree, Computer Business Systems CERTIFICATIONS Fraud Awareness Medicare Part D CPR First Aid HIPAA Medication Administration TECHNICAL SKILLS Excel (Intermediate–Advanced) QuickBooks AS400 Microsoft Office Suite - Jun 08
... Cincinnati State – Associate Degree, Computer Business Systems CERTIFICATIONS Fraud Awareness Medicare Part D CPR First Aid HIPAA Medication Administration TECHNICAL SKILLS Excel (Intermediate–Advanced) QuickBooks AS400 Microsoft Office Suite - Jun 08
Technical Support - Healthcare & Production Specialist
Belton, TX
... Humana Customer Service Specialist Teleperformance USA September 2016 – June 2019 Supported Medicare members with healthcare benefits, claims, pharmacy coverage, and enrollment. Explained copays, coinsurance, and coverage requirements clearly and ... - Jun 08
... Humana Customer Service Specialist Teleperformance USA September 2016 – June 2019 Supported Medicare members with healthcare benefits, claims, pharmacy coverage, and enrollment. Explained copays, coinsurance, and coverage requirements clearly and ... - Jun 08
Senior Medical Coder & CDI Consultant (Remote)
Baton Rouge, LA
... AREAS OF EXPERTISE Professional Fee Coding (Inpatient & Outpatient) E/M Coding & Auditing (2021–2025 Guidelines) CPT, HCPCS Level II, ICD-10-CM & ICD-10-PCS Modifier Assignment & Sequencing HCC & Risk Adjustment Coding Medicare, CMS & Payer ... - Jun 08
... AREAS OF EXPERTISE Professional Fee Coding (Inpatient & Outpatient) E/M Coding & Auditing (2021–2025 Guidelines) CPT, HCPCS Level II, ICD-10-CM & ICD-10-PCS Modifier Assignment & Sequencing HCC & Risk Adjustment Coding Medicare, CMS & Payer ... - Jun 08
RCM Specialist with 6+ Years in Healthcare Billing
United States
... Professional Experience • Manage end-to-end Accounts Receivable (A/R) operations for physician and hospital claims across Medicare, Medicaid, TRICARE, and commercial insurance payers • Analyze aged A/R accounts to identify root-cause issues, ... - Jun 08
... Professional Experience • Manage end-to-end Accounts Receivable (A/R) operations for physician and hospital claims across Medicare, Medicaid, TRICARE, and commercial insurance payers • Analyze aged A/R accounts to identify root-cause issues, ... - Jun 08
Sales Coordinator Intraocular Lens Specialist
McAllen, TX
... Medicare - Medicaid, HMO's and private insurance filing. Billing was done for both office and surgery center. Researching old uncollected accounts with a 95% successful reimbursement. Monthly statements and monthly collection phone calls. ... - Jun 08
... Medicare - Medicaid, HMO's and private insurance filing. Billing was done for both office and surgery center. Researching old uncollected accounts with a 95% successful reimbursement. Monthly statements and monthly collection phone calls. ... - Jun 08
senior Java Architect
United States
... Deep knowledge of Medicaid/Medicare workflows. •Designed and implemented event-driven Spring Boot microservices integrated with Confluent Kafka for claims processing, eligibility checks, and real-time EDI (837/835) transactions. •Reduced claim ... - Jun 08
... Deep knowledge of Medicaid/Medicare workflows. •Designed and implemented event-driven Spring Boot microservices integrated with Confluent Kafka for claims processing, eligibility checks, and real-time EDI (837/835) transactions. •Reduced claim ... - Jun 08
Virtual Assistant
Pataskala, OH
... Sept 2015 - Sept 2016 Medicare Benefits Support and Dispute Specialist-Teleperformance, UHC ●Supported UHC members with Medicare supplement inquiries regarding benefits and claims achieving a 95% satisfaction rate. ●Assisted member with compassion ... - Jun 08
... Sept 2015 - Sept 2016 Medicare Benefits Support and Dispute Specialist-Teleperformance, UHC ●Supported UHC members with Medicare supplement inquiries regarding benefits and claims achieving a 95% satisfaction rate. ●Assisted member with compassion ... - Jun 08
Multifaceted Administrative and Customer Support Professional
Selma, IN
... their needs Inbound calls assisting customers with their banking questions Utilized knowledge library for extra research Medicare Appeals Representative Federal Hearings and Appeals Services, Inc., Muncie, IN August 2022 to March 2023 Working from ... - Jun 08
... their needs Inbound calls assisting customers with their banking questions Utilized knowledge library for extra research Medicare Appeals Representative Federal Hearings and Appeals Services, Inc., Muncie, IN August 2022 to March 2023 Working from ... - Jun 08
Customer Service and Sales Leader with 30+ Years Experience
New Braunfels, TX
... Guided Medicare and corporate members through enrollment and cost-share explanations, lowering enrollment confusion. Provided empathetic support to members, fostering trust and enhancing communication for a positive customer experience. cree ee ... - Jun 08
... Guided Medicare and corporate members through enrollment and cost-share explanations, lowering enrollment confusion. Provided empathetic support to members, fostering trust and enhancing communication for a positive customer experience. cree ee ... - Jun 08