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Columbus, OH
... Work Experience Customer Service Representative Circle K Truck Stop - South Bloomfield, OH April 2017 to January 2019 • Assured Customers was taken care of always • Handle cash,checks,money orders, lottery • Kept things stock always • Kept store ...
- 2023 Nov 25
Columbus, OH
... Medicaid, Medicare, MMP, and Marketplace for multiple states, Checked on claim’s status, assisted with appeals for denied claims, followed the steps on prior authorization for member eligibility and checked the state fee schedules for claim pricing. ...
- 2023 Nov 20
Columbus, OH
... •Capture member grievance, and relay appeals instructions for the appropriate line of business. Including future line of business •Ensure all HIPPA and STATE requirements, regulations are adhered to at all times, in existing and future line of ...
- 2023 Nov 17
Columbus, OH, 43210
... Contacts insurance agencies inquiring about claim status, status appeals and authorizations; handles requests from and collaborates with outside sources such as legal representation, physician offices, and insurance companies for information ...
- 2023 Nov 08
Columbus, OH
... Managed payment processing for attorney’s fees following resolution of appeals. Skills Personal Computer Interviewing Developing Case Plans for various populations: oGeriatric oTeens oChildren Child Welfare Training Program (2011-2012) Trained in ...
- 2023 Sep 04
Reynoldsburg, OH
... - Columbus, OH May 2021 to February 2022 Adjudicate pandemic unemployment claims and help with appeals and processe of payments. Advice claimants on next steps and assist with questions and emails regarding claims. Customer Loyalty Representative ...
- 2023 Aug 18
Columbus, OH
... Phone System Care Gaps Provider Care Changes Third Party Insurance Language Lines IAD CTI One X-Agent EXP Masess System Filing Appeals and Greivences Printer King Bling LLC - Columbus, OH June 2019 to Present I have my own company that I do custom ...
- 2023 Aug 01
Columbus, OH
... • Training new hires • All patient correspondence from attorneys & vendors • Deceased accounts • Medicare/ Medicaid • Appeals • Denials • ICD-10, CPT Codes HEALTHSCOPE BENEFITS – FROM 12/01/2014 TO 9/01/2017 • Third party administrator CSR ...
- 2023 Jul 17
Columbus, OH
... Communicating with employers to ensure they have been notified of claims and appeals processes 4. Reviewing written documentation to determine if an employer has followed proper procedures in terminating an employee’s employment 5. Determining ...
- 2023 May 24
Pickerington, OH
... Experience includes: ● Employee relations training ● FC Connections Champion ● Lean manufacturing ● Kaizen leader and participant ● Six Sigma training ● Microsoft office ● Continuous improvement ● Associates appeals facilitator and panelist ● Labor ...
- 2023 Jan 02