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Resumes 21 - 30 of 311 |
Columbus, OH
... Returns and exchanges for online store merchandise and apparel purchases. Participating in training sessions and ongoing learning opportunities to stay updated on product knowledge, customer service techniques, and company policies. Solutions ...
- Jul 24
Columbus, OH
... • Documented Appeals and Grievances • Assisted Providers with existing prior authorizations regarding the members RX. • Spoke with Pharmacy Technicians to confirm prior authorization status. Sedgwick (Customer Service Rep)New Albany, OH September ...
- Jul 19
Columbus, OH
... CVS Health – Columbus, Ohio February 2024 – April 2024 Medicare Grievances and Appeals Sr. Coordinator Review, analyze, and process policies associated with claim events to establish the company's liability, deficiencies, and entitlement. Create ...
- Jul 18
Columbus, OH, 43219
... maintains well-organized, accurate and complete files for all appeals. • Monitors each request to ensure all internal and regulatory timelines are met. Due to a large backlog of reconsiderations, I volunteered to assist with the backlog. I uploaded ...
- Jul 17
Columbus, OH
... ●Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. ●Comprehensive understanding of the admission, concurrent, continued stay and retrospective reviews using the established ...
- Jul 17
Columbus, OH
... Handled appeals and follow-up, and denial claims with the carriers. Was employee of the months several times for meeting the goals of the department. I handled more than 60 phones a day to patients, commercial insurance, Medicaid and Medicare. ...
- Jul 15
Columbus, OH
... with the scheduling department SKILLS Medical Billing, Coding, Accounts Receivable, Insurance Verification, Insurance Follow up, Appeals SOFTWARES OPTUM ICD 10 CM, CPT, HCPCS EPIC utilized for coding, Re- billing, verifying insurance eligibility and ...
- Jul 14
Westerville, OH
... with nursing/medical staff and identified when a member should be connected with an internal nurse Participated in business growth projects involving Third Party Claim Administrators regarding claim processing, claims denials, and claim appeals. ...
- Jul 06
Columbus, OH
... Graphic Design/Print Production Nola Grown New Orleans, Louisiana January 2017 • Hand drew and designed graphics for apparel. • Production artwork. Graphic Design Intern Homage Columbus, Ohio June 2016 - December 2016 • Hand drew, illustrated, ...
- Jun 25
Lewis Center, OH
... exposure • Comfortable with quick diversion • Bachelor’s in Computer Engineering • Complex problem solver • Green-card holder • Comfortable with small/large team Java Programmer 08/2017 to 01/2020 Csoft Technology Ahmedabad, Gujarat, India • ...
- Jun 10