Medicare Resumes

Temperance, MI
... Therapy Management (MTM) ●Drug Utilization Review (DUR) ●Prescription Verification & Clinical Review ●Prior Authorization Support ●Medicare Part D ●Patient Counseling & Education ●Regulatory & Compliance Standards ●Quality Assurance & Documentation ... - May 06

Houston, TX
... Healthcare Support) Alorica — Humble, TX Oct 2021 – Sep 2023 ● Handled high-volume inbound calls assisting Medicaid and Medicare members ● Verified customer information and processed requests with high accuracy ● Resolved complex issues with a 90%+ ... - May 06

Port Charlotte, FL
... Eligibility Specialist Change Healthcare — Weston, FL January 2017 – January 2020 • Assisted clients with enrollment in Medicare and managed care programs FRANCESKA CHARLES Riverview, FL • 954-***-**** • ************@*****.*** • Ensured accurate ... - May 06

Miami, FL
... Customer Service Representative – Medicare and Much More (MMM) (2021 – 2022) • Worked in the authorizations and referrals department, managing medical requests and ensuring effective communication among patients, providers, and healthcare ... - May 06

Atlanta, GA
... sugars, input and output Anthem Savannah, Ga 12/2018-08/2019 CCRI – Pharmacy Prior Authorization •Processes prior authorization requests from physicians' offices and ensures compliance with all Medicare, regulatory and accreditation requirements; ... - May 06

Fort Worth, TX
... Health Alliance sells health insurance plans and Medicare advantage plans in Illinois, Iowa, Wisconsin and Washington. Broker & Employer Group Management Sales force portal. Broker & Employer group management provides services for business users to ... - May 06

Columbus, GA
... nursing staff Responsible for the monitoring of Coumadin therapy and scheduled monthly labs Supervised and reviewed daily Medicare charting (COMS Care Coordinator) Performed and reviewed assessments of the mental and physical status of all patients ... - May 06

Las Vegas, NV
LESLIE FINNEGAN Las Vegas, NV 702-***-**** **********@*****.*** Authorized to work in the United States PROFESSIONAL SUMMARY Detail-oriented healthcare and hospitality professional with over 15 years of experience in Medicare member services, group ... - May 06

Kaplan, LA
... Coordinator 12/2022 to 6/2024 Responsible for all aspects of credentialing of providers for ALL insurances including Medicare and Medicaid, refunds and billing Filling all paperwork to have provider credentialed with insurances via either paper ... - May 06

Valdosta, GA
... CORE STRENGTHS ● Healthcare Operations: Medical Terminology, Insurance Verification, Prior Approvals, Medicare/Medicaid Knowledge, Medication Coordination. ● Customer Excellence: De-escalation, Complex Billing Resolution, Technical Troubleshooting, ... - May 06