| Resume alert | Resumes 11 - 20 of 35 |
Verification Specialist Data Entry
Columbus, OH
... Adheres to “initiative-taking practice”, which includes contacting payer directly for payment due on accounts. Investigation of all billing discrepancies, obtain demographic info (UCR and DRGs), clinical adaptation of ICD-10 related to CPT codes, ... - 2023 Apr 20
... Adheres to “initiative-taking practice”, which includes contacting payer directly for payment due on accounts. Investigation of all billing discrepancies, obtain demographic info (UCR and DRGs), clinical adaptation of ICD-10 related to CPT codes, ... - 2023 Apr 20
Office Specialist, A/R Specialist, Front Desk, Claims Examiner
Whitehall, OH
... Then I would file an appeal with the payer, defer the claim for fifteen days, then do a follow - up with the insurance company to see if the appeal was received, have the representative give me the document control number and defer the claim for ... - 2022 Dec 29
... Then I would file an appeal with the payer, defer the claim for fifteen days, then do a follow - up with the insurance company to see if the appeal was received, have the representative give me the document control number and defer the claim for ... - 2022 Dec 29
Regional Director of Finance
Grove City, OH
... office operations and revenue cycle of a TriState area with support to 19 facilities ●Emphasis on Bad Debt & Cash Collections with payer trends ●Oversee Medicaid Pending process and timely approvals ●Train and instruct BOM on collections and billing ... - 2022 Sep 11
... office operations and revenue cycle of a TriState area with support to 19 facilities ●Emphasis on Bad Debt & Cash Collections with payer trends ●Oversee Medicaid Pending process and timely approvals ●Train and instruct BOM on collections and billing ... - 2022 Sep 11
Dental Assistant Support Coordinator
Delaware, OH
... I submitted all payer applications, add locations, CAQH forms, completed follow ups, and credentials. All information was kept in ECHO software including provider effective dates. North American Dental Group - Pittsburgh, Pennsylvania Training & ... - 2022 Mar 19
... I submitted all payer applications, add locations, CAQH forms, completed follow ups, and credentials. All information was kept in ECHO software including provider effective dates. North American Dental Group - Pittsburgh, Pennsylvania Training & ... - 2022 Mar 19
Project Director Assurance Manager
Dublin, OH, 43017
... by identifying, logging, and resolving payer issues and provide upward communication of issues, status, and resolution of payer issues. This included Medicare, Medicare Managed Care accounts, and Indirect Medical Education (IME). Maintained access ... - 2021 Oct 18
... by identifying, logging, and resolving payer issues and provide upward communication of issues, status, and resolution of payer issues. This included Medicare, Medicare Managed Care accounts, and Indirect Medical Education (IME). Maintained access ... - 2021 Oct 18
Pharmacist Pharmacy
Reynoldsburg, OH
... Implements direct patient care programs, including but not limited to Medication Therapy Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of multiple business plans and projects to ... - 2021 May 17
... Implements direct patient care programs, including but not limited to Medication Therapy Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of multiple business plans and projects to ... - 2021 May 17
Project Manager Data
Alexandria, OH, 43001
... performing quality assurance of the data configuration, Eligibility & Pricing configuration, medical billing, Claims processing, and Healthcare Payer Domain. Strong experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and ... - 2019 Jun 03
... performing quality assurance of the data configuration, Eligibility & Pricing configuration, medical billing, Claims processing, and Healthcare Payer Domain. Strong experience in Claims Processing and Claims Scrubbing in HMO, PPO, Medicaid and ... - 2019 Jun 03
Manager Project
Powell, OH
... - Claims – HEDIS Measures – CMS Files – Medicare – Medicaid - ADT – HIPAA Compliance – Medical Record Retrieval – Healthcare Payer – EDW - HL7 Platform – BI tools PROFESSIONAL SUMMARY Accomplished healthcare Project & Program Manager with hands-on ... - 2019 Mar 19
... - Claims – HEDIS Measures – CMS Files – Medicare – Medicaid - ADT – HIPAA Compliance – Medical Record Retrieval – Healthcare Payer – EDW - HL7 Platform – BI tools PROFESSIONAL SUMMARY Accomplished healthcare Project & Program Manager with hands-on ... - 2019 Mar 19
IT Project Manager
Powell, OH, 43065
... ●Oversaw payer and provider accounts. ●Supervised the migration of HTP’s production system from one server to another. ●Educated clients on utilizing HTP’s software. ●Cooperated with all levels of management to resolve production issues and to ... - 2018 Apr 02
... ●Oversaw payer and provider accounts. ●Supervised the migration of HTP’s production system from one server to another. ●Educated clients on utilizing HTP’s software. ●Cooperated with all levels of management to resolve production issues and to ... - 2018 Apr 02
Data Project
Columbus, OH
... A core component of this multi-payer initiative is episodes of care; an episode is the collection of care provided to treat a particular condition over a given length of time. Multi-Payer system required various types of reports. These reports ... - 2018 Jan 29
... A core component of this multi-payer initiative is episodes of care; an episode is the collection of care provided to treat a particular condition over a given length of time. Multi-Payer system required various types of reports. These reports ... - 2018 Jan 29