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
Creedmoor, NC
TOSCANA VILLINES Creedmoor, NC 336-***-**** *****************@*****.*** PROFESSIONAL SUMMARY Detail-oriented Healthcare Reimbursement and Authorization Specialist with 9+ years of experience working with Medicare, Medicaid, and commercial insurance ...
- Jun 30
Kissimmee, FL
... Excellence ●Medicare & Healthcare Navigation ●Referral Source Development PROFESSIONAL EXPERIENCE Admissions Director Harborview Health Systems Kissimmee, FL March 2026 – Present ●Manage the full admissions process from inquiry through admission. ...
- Jun 30
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
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
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
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
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
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
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