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Westerville, OH
... • Build and monitor community, customer, payer, and patient perceptions, as a quality provider of services. • Provide leadership in strategic planning including identifying opportunities for additional or improved services to address customer needs. ...
- Nov 29
Columbus, OH
... Groups and network, payer administration system, billing, capitation, member enrollment, benefit plans and groups. Expertise in Claim Processing which includes Health Insurance Portability and Accountability Act (HIPAA) Gateway and Claim ...
- Oct 14
Gahanna, OH, 43230
... Software Application experience & training: PMIS Project Management Information System Web Applications Online Forms (DRC Intranet) CUBS Water Rate Payer Accounting System Internet Explorer Ohio Accounting Knowledge System (OAKS) Microsoft Office ...
- Sep 08
Columbus, OH
... system • Audit EHR and claims for compliance and coding issues • Review overpayments and issue appropriate refunds • Trend payer and reimbursement performance • Month-end financial close and census calculation analysis • Issue monthly facility ...
- Sep 03
Columbus, OH
... Client: Sonata Software, Bengaluru, India Jun 2016 to Dec 2018 Role: Software Developer Project Description: Responsibilities: Spearheaded the development of enterprise software solutions, employing C#, .NET Framework (4.5), and MS SQL Server (2012) ...
- Jul 17
Columbus, OH
... 2017 – Present Utilization Management Nurse: ●Reviews patient medical records and utilize clinical and regulatory knowledge and skills as well as knowledge of payer requirements to determine why cases are denied and whether an appeal is required. ...
- Jul 17
Hilliard, OH
... I also worked in the billing department reviewing claims for coding errors before doing the charge entry and submitting the claims, payment posting, secondary billing as well as patient billing after primary payer has paid if the secondary did not ...
- Jul 11
Dublin, OH
* Name : Venkata Ramakrishna Pandugayala E-mail: ************@*****.*** Mobile :+1-614-***-**** Professional Summary: • More than 10 years of experience as a Senior SAP ABAP Developer. Completed one full life cycle implementation, two support ...
- Jun 23
Columbus, OH
... May also be responsible for reviewing and resolving third party payer issues. Assist and prepare all documents to submit custodian of records. UPMC Mercy Hospital, Pittsburgh PA Health Unit Coordinator 07/2010-01/2011 Called and transferred consults ...
- Jun 12
Reynoldsburg, OH
... GPA 3.0 Certification Medical Assistant Remington College, Cleveland, OH Coursework in: Healthcare Management, Services, Healthcare Financial Services and Payer Systems, ICD-09 Coding, and Phlebotomy GPA 4.0 EXPERIENCE Chalmers P. Wylie VA ...
- May 09