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Customer Service & Data Entry Specialist
Columbus, OH
... data entry Reviewed and processed Unemployment claims efficiently Managed claimant communications via email and calls Verified claim statuses using proprietary software Leveraged MS Office Suite for data management Input payments, adjustments, and ... - Jul 11
... data entry Reviewed and processed Unemployment claims efficiently Managed claimant communications via email and calls Verified claim statuses using proprietary software Leveraged MS Office Suite for data management Input payments, adjustments, and ... - Jul 11
Customer Care Specialist III - Medicaid/Medicare
Columbus, OH
... Research and resolve claim discrepancies, payment issues, and enrollment concerns accurately and efficiently. Interpret healthcare policies, plan documents, and regulatory guidelines (Medicaid, Medicare, Marketplace). Coordinate with internal ... - Jul 06
... Research and resolve claim discrepancies, payment issues, and enrollment concerns accurately and efficiently. Interpret healthcare policies, plan documents, and regulatory guidelines (Medicaid, Medicare, Marketplace). Coordinate with internal ... - Jul 06
Behavioral Health EHR Billing & Prevention Lead
Reynoldsburg, OH
... maintained 90%+ claim accuracy. - Resolved Medicaid/Medicare discrepancies weekly, improving on-time claims and reducing client errors. - Designed and launched Microsoft 365/AI training with Walsh University, boosting staff digital skills. - ... - Jul 01
... maintained 90%+ claim accuracy. - Resolved Medicaid/Medicare discrepancies weekly, improving on-time claims and reducing client errors. - Designed and launched Microsoft 365/AI training with Walsh University, boosting staff digital skills. - ... - Jul 01
Customer Service Representative (9 Years)
Columbus, OH
... Verified insurance eligibility and ensured accurate documentation to support claim processing. Maintained strict adherence to healthcare regulations, confidentiality, and quality standards. Education Butler County Master of Business Administration, ... - Jun 22
... Verified insurance eligibility and ensured accurate documentation to support claim processing. Maintained strict adherence to healthcare regulations, confidentiality, and quality standards. Education Butler County Master of Business Administration, ... - Jun 22
Executive Administrative Professional with Compliance Focus
Delaware, OH
... Senior Claims Processor — Claim Support Services Nationwide Mutual Insurance August 2016 – May 2025 • Processed and evaluated an average of 150 complex insurance claims monthly across personal, commercial, life, and specialty lines, maintaining a 99 ... - Jun 09
... Senior Claims Processor — Claim Support Services Nationwide Mutual Insurance August 2016 – May 2025 • Processed and evaluated an average of 150 complex insurance claims monthly across personal, commercial, life, and specialty lines, maintaining a 99 ... - Jun 09
Virtual Assistant
Pataskala, OH
... •Retrieved payment status information from government and third-party payers on hospital claim to ensure timely processing. •Documented, monitored, and verified payment timelines maintaining accurate and up-to–date client accounts. •Leveraged ... - Jun 08
... •Retrieved payment status information from government and third-party payers on hospital claim to ensure timely processing. •Documented, monitored, and verified payment timelines maintaining accurate and up-to–date client accounts. •Leveraged ... - Jun 08
Financial Services & Mortgage Compliance Specialist
New Albany, OH, 43054
... deed, note & security instrument of currently held mortgage loans that have been affected by natural causes to ensure that all critical factors are concurrent for decisioning on the loan modification, partial claim and combo loan process. ... - May 28
... deed, note & security instrument of currently held mortgage loans that have been affected by natural causes to ensure that all critical factors are concurrent for decisioning on the loan modification, partial claim and combo loan process. ... - May 28
Operations and HR Administrative Professional
Pickerington, OH
... Populus Group - HEDIS Pursuit Reviewer 12/2016 - 12/2017 Seventy percent of the time supported research within the company claim system. Efficiently swapped between systems to make sure information obtained is exact. Reviewed invoices and private ... - May 14
... Populus Group - HEDIS Pursuit Reviewer 12/2016 - 12/2017 Seventy percent of the time supported research within the company claim system. Efficiently swapped between systems to make sure information obtained is exact. Reviewed invoices and private ... - May 14
Certified Scrum Master + Agility Lead Resume Title
Columbus, OH
... Worked as a servant leader for multiple web application development projects which support patient billing and claim management. Responsibilities: Worked as scrum master and handled two project teams in coaching agile methodology by applying agile ... - May 05
... Worked as a servant leader for multiple web application development projects which support patient billing and claim management. Responsibilities: Worked as scrum master and handled two project teams in coaching agile methodology by applying agile ... - May 05
Construction Management Professional with Client-Focused Leadership
Canal Winchester, OH, 43110
... 3 condo projects and finished the 3rd phase of The Pines Apartments 2011-2015 Project Manager/Precision 1 Contracting Insurance Claim Specialists, Home Improvement Work directly with Insurance Adjusters to negotiate final scopes of damaged property. ... - Apr 22
... 3 condo projects and finished the 3rd phase of The Pines Apartments 2011-2015 Project Manager/Precision 1 Contracting Insurance Claim Specialists, Home Improvement Work directly with Insurance Adjusters to negotiate final scopes of damaged property. ... - Apr 22