| Resume alert | Resumes 1 - 10 of 564 |
Asp.Net .Net Core
Annandale, VA
... Claim process also done by EDGE. Responsibilities: Develop application code and modules for business and technical requirements. Interact with Business Analysist to determine their requirements and needs. Resolve and troubleshoot problems and ... - May 23
... Claim process also done by EDGE. Responsibilities: Develop application code and modules for business and technical requirements. Interact with Business Analysist to determine their requirements and needs. Resolve and troubleshoot problems and ... - May 23
Software Testing Test
Falls Church, VA
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim processing in both WGS and STAR profiles Utilized the trace tool to verify benefits for EDI (270-271) transactions Executed membership ... - May 22
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim processing in both WGS and STAR profiles Utilized the trace tool to verify benefits for EDI (270-271) transactions Executed membership ... - May 22
Systems Analyst Business
Silver Spring, MD
... Manage, oversee, and guide technical advisor and 18-member team of claim analysts, as well as inventory management, distribution, and workflow analysis. Served as technical liaison to providers, members, and other departments regarding claim issues, ... - May 17
... Manage, oversee, and guide technical advisor and 18-member team of claim analysts, as well as inventory management, distribution, and workflow analysis. Served as technical liaison to providers, members, and other departments regarding claim issues, ... - May 17
Business Analyst Systems
Ashburn, VA
... ● Documented complex Business requirements and made process flow diagrams for the 834, 837, 270/271, 276/277 & 835 Remittance transactions as per the implementation for the Medicaid claim processing system enhancement. ● Business requirements for ... - May 17
... ● Documented complex Business requirements and made process flow diagrams for the 834, 837, 270/271, 276/277 & 835 Remittance transactions as per the implementation for the Medicaid claim processing system enhancement. ● Business requirements for ... - May 17
Task Force Program Analyst
Washington, DC
... Train all new Data Discrepancy team members on how to resolve and claim note any errors on received documentation. Coordinate with management to develop methods to improve available SOP’s and services. Document Management Technician PAE/Department ... - May 08
... Train all new Data Discrepancy team members on how to resolve and claim note any errors on received documentation. Coordinate with management to develop methods to improve available SOP’s and services. Document Management Technician PAE/Department ... - May 08
Call Center Representative
Washington, DC
... Ethics, CMS 1500 Claim Form, Billing Cycle, C= laims Appeal Process, Medical Billing Knowledge, Third Party Billing, Medic= are, Medicaid, HMO, PPO, Basic Coding Skills for ICD-10 & CPT, Insuranc= e Verification, Anatomy & Physiology<o:p></o ... - May 02
... Ethics, CMS 1500 Claim Form, Billing Cycle, C= laims Appeal Process, Medical Billing Knowledge, Third Party Billing, Medic= are, Medicaid, HMO, PPO, Basic Coding Skills for ICD-10 & CPT, Insuranc= e Verification, Anatomy & Physiology<o:p></o ... - May 02
Support Specialist Legal Secretary
McLean, VA
... • Verbal and written communication with clients and adjuster regarding approximately 50-100 open cases. Successful settlement rate was 99.9%. • Requested medical records/bills, prepared Personal Injury and Worker’s Comp cases for filing. E-filed ... - Apr 30
... • Verbal and written communication with clients and adjuster regarding approximately 50-100 open cases. Successful settlement rate was 99.9%. • Requested medical records/bills, prepared Personal Injury and Worker’s Comp cases for filing. E-filed ... - Apr 30
Project Manager Program Management
Washington, DC
... Daley, with a focus on Medicaid Claim Billing & Commercial Claim Billing: • During this program training I had the opportunity to work on five Hospital Host Systems and was later successful at my task of training others on all medical billing ... - Apr 24
... Daley, with a focus on Medicaid Claim Billing & Commercial Claim Billing: • During this program training I had the opportunity to work on five Hospital Host Systems and was later successful at my task of training others on all medical billing ... - Apr 24
Project Manager Management
Reston, VA
... This included automating their manual claim system and creating an application for automation. Ensuring overage costs do not occur due to excessive data hosting and maintaining a process of archival to avoid penalties. Designing, building and ... - Apr 23
... This included automating their manual claim system and creating an application for automation. Ensuring overage costs do not occur due to excessive data hosting and maintaining a process of archival to avoid penalties. Designing, building and ... - Apr 23
Medical and dental terminology, ICD/CPT-9/ dental coding
Washington, DC
... Researched and resolved all complex claim cases as identified by the Department Manager. Served as a mentor to recently trained or new hires within the Department. Tested and provided feedback on all new system enhancements. Actively participated in ... - Apr 17
... Researched and resolved all complex claim cases as identified by the Department Manager. Served as a mentor to recently trained or new hires within the Department. Tested and provided feedback on all new system enhancements. Actively participated in ... - Apr 17