| Resume alert | Resumes 1 - 10 of 1843 |
Informatica etl developer
Ashburn, VA
... member/agent policy and claims information to satisfy the company’s need for fast financial report generation. The immediate objective was to develop a Data Mart to handle health insurance member, their policy needs and claim Extracted data from ... - May 26
... member/agent policy and claims information to satisfy the company’s need for fast financial report generation. The immediate objective was to develop a Data Mart to handle health insurance member, their policy needs and claim Extracted data from ... - May 26
Sql Server Business Intelligence
Rockville, MD
... 2004 Analyzed and made performance tuning recommendations to optimize the resource use, increase throughput and minimize contention, enabling the largest possible workload to be processed for the large-scale system to process auto policy claims. ... - May 25
... 2004 Analyzed and made performance tuning recommendations to optimize the resource use, increase throughput and minimize contention, enabling the largest possible workload to be processed for the large-scale system to process auto policy claims. ... - May 25
Sql Server Business Intelligence
Reston, VA
... Supported data extraction from legacy systems into flat files for loading into Puddle claims database. Developed Stored Procedures in SQL for extracting and performing data transformations on the legacy data and load into the claims database. ... - May 25
... Supported data extraction from legacy systems into flat files for loading into Puddle claims database. Developed Stored Procedures in SQL for extracting and performing data transformations on the legacy data and load into the claims database. ... - May 25
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
Scrum Master Software Development
Washington, DC
... Work on Claims, Payments, Medicaid, Medicare, Provider, Portal, Billing, and Benefits. Work at PMO office in developing strategic plans to develop execution of organization wide programs and projects, improving project management processes and ... - May 22
... Work on Claims, Payments, Medicaid, Medicare, Provider, Portal, Billing, and Benefits. Work at PMO office in developing strategic plans to develop execution of organization wide programs and projects, improving project management processes and ... - May 22
Software Testing Test
Falls Church, VA
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim ... transfer (KT) sessions on bulk uploading of EDI (837) claims using the EDIMex tool Produced a comprehensive case study ... - May 22
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim ... transfer (KT) sessions on bulk uploading of EDI (837) claims using the EDIMex tool Produced a comprehensive case study ... - 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
... ● Worked on claim processing module which involved Receipt and Verification of Claim Forms (837) and Claims Adjudication, Health Claim Payment/Advice (835) as per HIPAA guidelines. ● Coordinated with EDI team, developers and production support team ... - May 17
... ● Worked on claim processing module which involved Receipt and Verification of Claim Forms (837) and Claims Adjudication, Health Claim Payment/Advice (835) as per HIPAA guidelines. ● Coordinated with EDI team, developers and production support team ... - May 17
Quality Assurance Automation Testing
Germantown, MD
... Functional testing of the Claims Adjudication Processes such as: Approval Processing, Timely Filing, Adjustments within existing application, and reprocessing applications with supporting documentation. Worked on Record and playback regression ... - May 15
... Functional testing of the Claims Adjudication Processes such as: Approval Processing, Timely Filing, Adjustments within existing application, and reprocessing applications with supporting documentation. Worked on Record and playback regression ... - May 15
Medical Records Patient Care
Arlington, VA
... Rep 2013 – 2014 ● Check-in/out patients, prepare and organize charts for new patients ● Contacted insurance carriers regarding claims ● Submitted appeals and sent medical records to insurance companies Solomon Eye Physicians and Surgeons, MD Patient ... - May 14
... Rep 2013 – 2014 ● Check-in/out patients, prepare and organize charts for new patients ● Contacted insurance carriers regarding claims ● Submitted appeals and sent medical records to insurance companies Solomon Eye Physicians and Surgeons, MD Patient ... - May 14