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Columbus, OH
... Working with insurance groups to ensure coverage for medications and treatments. Making sure that authorizations are in place for treatments. Owner-Operator, The Five Leaf Clover Store Urbana, OH, January 2025-present Manage a small business. As an ...
- Jul 08
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
Columbus, OH, 43291
... standards were met • Coordinated office cleaning tasks, maintaining a professional and organized workspace • Ensured team coverage and task completion by adapting to shifting priorities and needs Education Medical Billing & Coding (University of ...
- Jul 05
Plain City, OH
... Outstanding Contribution – 2005 EPM ND Best Team Award – EPM Product Development (2004) PROFESSIONAL EXPERIENCE: Software Developer Client: ODOT – State of Oklahoma Agency Apr 2025 – Present Project Description: Implemented Fusion Data Intelligence ...
- Jul 02
Columbus, OH
... • Provided 24/7 coverage for high-priority technical issues during major events. • Supported 100+ end users with Windows/macOS configuration and troubleshooting. • Documented incidents and created performance reports to improve response times. • ...
- Jun 29
Columbus, OH
... experience Mechanical knowledge Phone etiquette Administrative experience Client communication management Medical insurance coverage verification Incident response coordination Face-to-face communication Phone communication Microsoft Word Multi-line ...
- Jun 25
Columbus, OH
... CCS Aug 2017 - Nov 2019 Customer Service Representative • Assisted customers with insurance coverage inquiries, claims status, and billing concerns. Verified insurance eligibility and ensured accurate documentation to support claim processing. ...
- Jun 22
Columbus, OH
... Partnered with QA teams to develop test plans, trace requirements to test cases, and ensure full coverage across regression ... Business Analyst / .NET Developer Alphenso Technology Bangalore, India Dec 2019 – Dec 2021 Elicited and decomposed ...
- Jun 19
Delaware, OH
... 2016 – May 2025 • Processed and evaluated an average of 150 complex insurance claims monthly across personal, commercial, life, and specialty lines, maintaining a 99% accuracy rate in coverage verification and a 97% customer satisfaction score. ...
- Jun 09
Pataskala, OH
... ●Assisted member with compassion and patience educating them on coverage details and assisting in locating participating providers ●Investigated coverage issues and claim disputes, submitting appeals for re-determinations in strict adherence to ...
- Jun 08