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Durham, NC
... denials resolution • Review and reconcile patient accounts and insurance payments • Submit accurate and timely claims to payers (Medicare, Medicaid, Commercial) • Assist in process improvement efforts for A/R workflows and collections • Work cross ...
- Jan 17
Jacksonville, FL
... Therapy (ECT) Respiratory & Pulmonary Disease Pain Management & Chronic Disease Hospital C-Suite & Physician Relations Medicare/Managed Care Landscape Technical Proficiencies: Salesforce Power BI Tableau Epic EMR Ubiquity EMR Meditech BambooHR ...
- Jan 17
Columbus, GA
... Retail, auto, credit cards, student loans etc Software: netsuite, salesforce, and dynamics 365 Customer Service Representative Humana (Temp Assignment)-Jacksonville, FL August 2014 to February 2015 Call center Representative, called all Medicare ...
- Jan 17
Nashville, TN
... KEY QUALIFICATIONS Medical Practice Management Systems Medical Terminology Medical Records HIPAA Compliance Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management Medicare / Medicaid Government Payers ...
- Jan 17
Lakeland, FL
... of Medicaid and Medicare • Educated potential members on coverage, eligibility,and benefits • Ensured enrollment applications were complete and accurate • Updated patient demographics into internal database Education High school diploma Dr. ...
- Jan 17
Elkins Park, PA
... Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Insurance Verification Basic Coding Skills for ICD-10 & CPT Anatomy & Physiology EDUCATION Ultimate ...
- Jan 17
Oklahoma City, OK
... Core Skills • Customer Service & Client Support • Insurance Verification & Billing (Medicare & Medicaid) • Claims Processing & EOB Review • Call Handling & Communication • Administrative Support & Data Entry • Problem Solving & Conflict Resolution ...
- Jan 17
Bradenton, FL
Sylvia Ayala Apollo Beach, FL ***** 212-***-**** Allied Marketing Blue Cross Blue Shield-Tampa, FL February 2025 to Present Florida Blue, ACA, FFM Certified and Medicare, AHIP Certified 2026. Typically involves customer-facing roles focused on sales ...
- Jan 17
Houston, TX
... Administrative skills included directing all clinical services and personnel, assisted in implementation of business affairs, direct staff, implemented policies, adhered to State Licensed Laws, and COPs for Medicare certification. Education 1999 ...
- Jan 16
Lehi, UT
... Benefit Advisor Go Health – September 2020 to January 2021 Take inbound calls from Medicare eligible participants to review health care needs and insurance coverage. Run a needs analysis to identify eligibility for certain benefits that coincide ...
- Jan 16