| Distance: | Resume alert | Resumes 161 - 170 of 38369 |
Data Entry & Order Support Specialist
Sacramento, CA
... Determined coordination of benefits (COB) with Medicare and other insurance carriers. Referred claims to the analyst team for reprocessing. Resolved complex inquiries and escalated issues with exceptional problem- solving skills, maintaining a 97.5% ... - Jun 30
... Determined coordination of benefits (COB) with Medicare and other insurance carriers. Referred claims to the analyst team for reprocessing. Resolved complex inquiries and escalated issues with exceptional problem- solving skills, maintaining a 97.5% ... - Jun 30
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