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Behavioral Health Patient Advocate & Crisis Support
Pickerington, OH
... •Verified insurance benefits, prior authorizations, eligibility, and patient demographic Information. •Communicated with referral sources, hospitals, providers, and families regarding admissions and Bed availability. •Assisted patients and families ... - Jul 13
... •Verified insurance benefits, prior authorizations, eligibility, and patient demographic Information. •Communicated with referral sources, hospitals, providers, and families regarding admissions and Bed availability. •Assisted patients and families ... - Jul 13
Healthcare Customer Service & Patient Advocacy
Columbus, OH
... Customer Service Representative I – Molina Healthcare, Remote / Columbus, OH (July 2021 – July 2023) • Provided outstanding customer service to health plan members regarding benefits, eligibility, claims, and coverage. • Resolved complex inquiries ... - Jul 13
... Customer Service Representative I – Molina Healthcare, Remote / Columbus, OH (July 2021 – July 2023) • Provided outstanding customer service to health plan members regarding benefits, eligibility, claims, and coverage. • Resolved complex inquiries ... - Jul 13
Customer Care Specialist III - Medicaid/Medicare
Columbus, OH
... Microsoft excel Experience CareSource Customer Care Specialist III • Columbus, OH Manage complex or escalated member and provider inquiries regarding benefits, claims status, eligibility, authorizations, billing, and coverage determinations. ... - Jul 06
... Microsoft excel Experience CareSource Customer Care Specialist III • Columbus, OH Manage complex or escalated member and provider inquiries regarding benefits, claims status, eligibility, authorizations, billing, and coverage determinations. ... - Jul 06
Customer Support Operations & Process Improvement
Canal Winchester, OH
... records and real-time calendar management using HubSpot, Salesforce, and CRM platforms Verified patient demographics, insurance eligibility, and authorizations to support compliant billing and service delivery Reduced no-show rates through proactive ... - Jul 06
... records and real-time calendar management using HubSpot, Salesforce, and CRM platforms Verified patient demographics, insurance eligibility, and authorizations to support compliant billing and service delivery Reduced no-show rates through proactive ... - Jul 06
Talent Operations & Workday Reporting Specialist
Grove City, OH
... 2019-2021 Application Specialist EVERSANA • Managed healthcare application workflows, overseeing eligibility verification and documentation review to support patient access. • Collaborated with cross-functional teams to troubleshoot application ... - Jun 29
... 2019-2021 Application Specialist EVERSANA • Managed healthcare application workflows, overseeing eligibility verification and documentation review to support patient access. • Collaborated with cross-functional teams to troubleshoot application ... - Jun 29
Customer Support & Technical Support Specialist
Columbus, OH
... • Guide consumers through eligibility verification, plan comparisons, and HBX enrollment steps. • Assist with MCO inquiries (Aetna, Kaiser Permanente, UnitedHealthcare). • Support customers with 1095-A and 1095-B tax form questions to ensure ... - Jun 29
... • Guide consumers through eligibility verification, plan comparisons, and HBX enrollment steps. • Assist with MCO inquiries (Aetna, Kaiser Permanente, UnitedHealthcare). • Support customers with 1095-A and 1095-B tax form questions to ensure ... - Jun 29
Customer Service Representative (9 Years)
Columbus, OH
... Explain benefits, eligibility, COBRA options, claims status, and dispositions with accuracy while maintaining HIPAA compliance. Navigate multiple internal systems simultaneously to research issues, resolve inquiries, and document outcomes ... - Jun 22
... Explain benefits, eligibility, COBRA options, claims status, and dispositions with accuracy while maintaining HIPAA compliance. Navigate multiple internal systems simultaneously to research issues, resolve inquiries, and document outcomes ... - Jun 22
Virtual Assistant
Pataskala, OH
... coverage issues and claim disputes, submitting appeals for re-determinations in strict adherence to Medicare guidelines and eligibility requirements. Education •Life/Health Coaching •Medical Assistant •Medical Billing and Coding •High School - Jun 08
... coverage issues and claim disputes, submitting appeals for re-determinations in strict adherence to Medicare guidelines and eligibility requirements. Education •Life/Health Coaching •Medical Assistant •Medical Billing and Coding •High School - Jun 08
Operations and HR Administrative Professional
Pickerington, OH
CAROLYN CHAIRS *********@*****.*** 937-***-**** SKILLS Reveleer Member 360 EPDSv2 Implementing Client Care Plans Issue Reporting Electronic Medical Record Software Client Service Teamwork and Collaboration Client Intakes Eligibility Requirements ... - May 14
CAROLYN CHAIRS *********@*****.*** 937-***-**** SKILLS Reveleer Member 360 EPDSv2 Implementing Client Care Plans Issue Reporting Electronic Medical Record Software Client Service Teamwork and Collaboration Client Intakes Eligibility Requirements ... - May 14
Customer-Centric Leader with 10+ Years Experience
Columbus, OH
... Analyzed reports to determine eligibility for various payment and settlement options, making informed decisions to facilitate account resolution. Consistently met and exceeded monthly recovery targets, contributing to the overall financial health of ... - May 07
... Analyzed reports to determine eligibility for various payment and settlement options, making informed decisions to facilitate account resolution. Consistently met and exceeded monthly recovery targets, contributing to the overall financial health of ... - May 07