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Resumes 91 - 100 of 563 |
Silver Spring, MD
... Explain to the clients the methodology used in the generation of samples and how sample findings are extrapolated/projected to the claim’s population. Designed Excel Template to carry out finding projection in just 5% of the normal time required to ...
- 2023 May 09
Washington, DC, 20398
... • Being responsible for conducting research contacting insurance carriers and filing claim appeals. • Ensuring that all managed care contracts are being upheld and paid in accordance to the contracts per diem rates that are set both within the CEO ...
- 2023 May 08
Purcellville, VA, 20132
... Completed All lines adjuster course and training. 06/2001 – 10/2001 Musculoskeletal Institute Orthopedic Surgery, Leesburg, FL Licensed Practical Nurse/Basic X-ray tech/Dexa scan operator. Lead nurse for an orthopedic surgeon. Assisted provider with ...
- 2023 May 01
Downtown, DC, 20004
... Project Manager April 2013 – July 2015 Project Manager assisting the Program Manager for oversight of the Department of Veterans Affairs Dependency Claim Processing Office, leading a team of Claims Processors to ensure exceptional customer service, ...
- 2023 Apr 18
New Market, MD
... Referrals or orders routed to PFS with an e-voucher attached Review primary claim information to determine how much the e-voucher paid on the claim. Review account to determine whether the patient is also enrolled with a copay card through the ...
- 2023 Apr 10
Fairfax, VA
... Able to process (level 1 and 2) and check claim status via phone/payer website. Payer response reports and rejection reports are worked timely and meet Departmental Productivity and Quality Review standards. Assure appropriate and timely ...
- 2023 Apr 01
Leesburg, VA
... Contact and maintained relationships with depots and national providers Research claim submission errors and assist service providers and claim processing associates to resolve Worked on assignments and special projects as directed Proactively ...
- 2023 Mar 31
Hungerford Towne, MD, 20850
... Strong interpersonal and communication skills as Data Analyst – such as handling insurance claim disputes with the providers to ensure the medical payments are reimbursed. CLASS PROJECTS Method of Statistics Project Utilized R to test the hypothesis ...
- 2023 Mar 20
Sterling, VA
... test suites Improved web automation test coverage from 60% to 85% Capgemini 26/11/2015-23/11/2018 Projects: CNA - Claim Financials, Policy center integration, Claim center version upgrade Guidewire Automation & Functional QA Worked as SME - ...
- 2023 Mar 19
Purcellville, VA
... •Assist in developing Employee Benefit Plans including: Health Insurance, 401K Retirement Plans, FMLA while serving as a Liaison with benefit carriers and brokers to resolve benefit enrollment, claim issues and compliance reporting in accordance ...
- 2023 Mar 08