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Epic Claims & Revenue Cycle Operations Specialist
Columbus, OH
... • Coordinated coding and claim-routing activities across healthcare teams. • Maintained study master lists to support accurate system records. Healthcare Project Manager Conifer Health Solutions October 2020 to April 2021 • Led claims and ... - Oct 08
... • Coordinated coding and claim-routing activities across healthcare teams. • Maintained study master lists to support accurate system records. Healthcare Project Manager Conifer Health Solutions October 2020 to April 2021 • Led claims and ... - Oct 08
Registered Pharmacy Technician and Biology Student
Reynoldsburg, OH
... • Resolve third-party claim rejections by working with insurance companies, pharmacists, and providers. • Maintain accurate patient demographics and insurance information while ensuring HIPAA compliance. • Communicate with patients regarding ... - Sep 22
... • Resolve third-party claim rejections by working with insurance companies, pharmacists, and providers. • Maintain accurate patient demographics and insurance information while ensuring HIPAA compliance. • Communicate with patients regarding ... - Sep 22
Claims Adjuster III and Commercial Coverage Specialist
Columbus, OH
... Investigates whether a claim maybe fraudulent, using industry standards. Contact claimants’ medical providers, or employers to get additional information on questionable claims. Confer with legal counsel on claims when needed. Negotiate settlements. ... - Aug 31
... Investigates whether a claim maybe fraudulent, using industry standards. Contact claimants’ medical providers, or employers to get additional information on questionable claims. Confer with legal counsel on claims when needed. Negotiate settlements. ... - Aug 31
Senior Java Spring Microservices Architect
Columbus, OH
... Called the Web-UI Controller using Angular (12) & Nodes 16; Java 7, 8, 11, 17 (SDK/JDK) – various Spring Boot, Micro Services Applications. UI-Web would call the UI-Rest API that would then call the SO layer & the DAO layer. Coded some Angular ... - Aug 31
... Called the Web-UI Controller using Angular (12) & Nodes 16; Java 7, 8, 11, 17 (SDK/JDK) – various Spring Boot, Micro Services Applications. UI-Web would call the UI-Rest API that would then call the SO layer & the DAO layer. Coded some Angular ... - Aug 31
Medical Assistant and Patient Care Coordinator
Columbus, OH
... Explained claim processed, verified claim payments, made claim corrections if needed ●Worked with other departments to make sure contact was made for claim processing, answering questions, having documents sent to policyholders. September 2018- July ... - Aug 23
... Explained claim processed, verified claim payments, made claim corrections if needed ●Worked with other departments to make sure contact was made for claim processing, answering questions, having documents sent to policyholders. September 2018- July ... - Aug 23
Customer Service & Patient Accounts Specialist
Columbus, OH
... I also create appeals and contact insurance companies for claim status updates. Customer Service Representative Pearle vision May 2016 to May 2018 Schedule appointments, verify insurance, process payments, send HCFA through clearinghouse for ... - Aug 13
... I also create appeals and contact insurance companies for claim status updates. Customer Service Representative Pearle vision May 2016 to May 2018 Schedule appointments, verify insurance, process payments, send HCFA through clearinghouse for ... - Aug 13
Sr. VMware & Windows Systems Engineer
Westerville, OH
... Deploy and Manage VMware vCenter Appliance 7.0/6.7/6.5/6.0 in High Availability mode with Embedded or External Platform services controller. Experienced in configuring Cloud platform such as Virtual Networks Multi-site, Cross-site, Azure VMs, Azure ... - Aug 03
... Deploy and Manage VMware vCenter Appliance 7.0/6.7/6.5/6.0 in High Availability mode with Embedded or External Platform services controller. Experienced in configuring Cloud platform such as Virtual Networks Multi-site, Cross-site, Azure VMs, Azure ... - Aug 03
Customer Experience & Client Success Leader
Pickerington, OH
... submitted, tracked, and corrected insurance claims, improving reimbursement accuracy, reducing claim delays, and enhancing the client billing experience. Managed contractor onboarding, offboarding, payroll, credentialing, and documentation while ... - Jul 30
... submitted, tracked, and corrected insurance claims, improving reimbursement accuracy, reducing claim delays, and enhancing the client billing experience. Managed contractor onboarding, offboarding, payroll, credentialing, and documentation while ... - Jul 30
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