| Resume alert | Resumes 1 - 10 of 1617 |
Business Analyst Intelligence
Washington, DC
... Validated the following: 837 (Health Care Claims or Encounters), 835 (Health Care Claims Payment/ Remittance), 270/271 (Eligibility request/Response), 834 (Enrolment/Dis-enrolment to a health plan). Functional Modeling & Analysis: Utilized SǪL and ... - May 29
... Validated the following: 837 (Health Care Claims or Encounters), 835 (Health Care Claims Payment/ Remittance), 270/271 (Eligibility request/Response), 834 (Enrolment/Dis-enrolment to a health plan). Functional Modeling & Analysis: Utilized SǪL and ... - May 29
Staff Pharmacist Patient Care
Falls Church, VA
... written prescriptions from prescribers Transferring prescriptions to and from other pharmacies processing insurance claims and determining plan eligibility for patients dispensing medications and counseling patients on proper medication use ... - May 28
... written prescriptions from prescribers Transferring prescriptions to and from other pharmacies processing insurance claims and determining plan eligibility for patients dispensing medications and counseling patients on proper medication use ... - May 28
Life Insurance Sales Representative
Washington, DC
... PROFESSIONAL SUMMARY AllState - Property Claims Adjuster Indianapolis, IN • 02/2022 - 09/2023 Cincinnati Life Insurance - Life Insurance Sales Representative Columbus, OH • 03/2020 - 08/2022 WORK HISTORY Negotiated claim settlements and recommended ... - May 28
... PROFESSIONAL SUMMARY AllState - Property Claims Adjuster Indianapolis, IN • 02/2022 - 09/2023 Cincinnati Life Insurance - Life Insurance Sales Representative Columbus, OH • 03/2020 - 08/2022 WORK HISTORY Negotiated claim settlements and recommended ... - May 28
Informatica etl developer
Ashburn, VA
... of Professional Experience Cognizant Technology Solutions Feb 2022 – Till Date # Area Client Project Details 1 Healthcare Boston Medical Center Healthnet plan (Wellsense) Project Details: VSP SCO: VSP is the external claims vendor for Vision claims. ... - May 26
... of Professional Experience Cognizant Technology Solutions Feb 2022 – Till Date # Area Client Project Details 1 Healthcare Boston Medical Center Healthnet plan (Wellsense) Project Details: VSP SCO: VSP is the external claims vendor for Vision claims. ... - 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
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
... for all completed UAT groups Delivered knowledge transfer (KT) sessions on bulk uploading of EDI (837) claims using the EDIMex tool Produced a comprehensive case study outlining the EDI processing process through the utilization of the EDIMex tool. ... - May 22
... for all completed UAT groups Delivered knowledge transfer (KT) sessions on bulk uploading of EDI (837) claims using the EDIMex tool Produced a comprehensive case study outlining the EDI processing process through the utilization of the EDIMex tool. ... - May 22
Business Analyst Systems
Ashburn, VA
... products over the years, the ability to pre-built and configure products, optimized member enrollment, benefit configuration and billing process, and administrative savings through reduced product and member maintenance and manual claims processing. ... - May 17
... products over the years, the ability to pre-built and configure products, optimized member enrollment, benefit configuration and billing process, and administrative savings through reduced product and member maintenance and manual claims processing. ... - 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