| Resume alert | Resumes 11 - 20 of 265 |
Grievance and Appeals
Columbus, OH
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
Prior Authorization Services Representative
Columbus, OH
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
Sql Server Software Development
Dublin, OH
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
Financial Management Service Delivery
Columbus, OH
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
Mental Health Social Worker
Columbus, OH
... Career opportunities in the educational system as a therapist, and school social worker in the middle school setting. Provided services to students identified as having special needs, with an (IEP), Individualized Service Plan. Strong team player ... - Feb 29
... Career opportunities in the educational system as a therapist, and school social worker in the middle school setting. Provided services to students identified as having special needs, with an (IEP), Individualized Service Plan. Strong team player ... - Feb 29
Information Systems Patient Care
Columbus, OH
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
Data Entry Customer Service
Columbus, OH
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
Customer Service Financial Clearance
Columbus, OH
... Coordinated benefits with medical insurance plans and Medicare providers. Conducted and documented comprehensive investigations to negotiate settlements or deny claims. Processed claims for payment or forwarded to appropriate personnel for further ... - Feb 01
... Coordinated benefits with medical insurance plans and Medicare providers. Conducted and documented comprehensive investigations to negotiate settlements or deny claims. Processed claims for payment or forwarded to appropriate personnel for further ... - Feb 01
Income Tax Care Benefits
London, OH
... 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 2. Employee Name and Address. 11 Nonqualified ... - Jan 31
... 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 2. Employee Name and Address. 11 Nonqualified ... - Jan 31
Project Management Information Systems
Galloway, OH
... 1994 – 1994 Healthcare Owner/Therapist Bodies at Rest 2009 – 2015 Allied Health Services • Introduced to Generally Accepted Accounting Principles (GAAP) • Provided customer service and established professional relationships with internal and ... - Jan 23
... 1994 – 1994 Healthcare Owner/Therapist Bodies at Rest 2009 – 2015 Allied Health Services • Introduced to Generally Accepted Accounting Principles (GAAP) • Provided customer service and established professional relationships with internal and ... - Jan 23