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Resumes 21 - 30 of 464 |
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
Columbus, OH
... Led a fraud investigation that resulted in the recovery of $100,000 in misappropriated funds and the implementation of new controls to prevent future fraud. Ensured integrity and reliability of all transactions that are reflected in the general ...
- Mar 13
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
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
Columbus, OH
... ● Performed skip tracing to find account holders who have created fraud or refuse to pay off account balance. August 2010- October 2011 – Rosie O’Grady’s Bartender/ Bar Manager ● Perform bartenders duties, train others in mixology, and take stock ...
- Feb 29
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
Dublin, OH
... Advised clients on compliance fraud and investigations, as well as potential remedies and required actions. Education Bachelors of Science Ohio State University, Columbus, Ohio September 1988 - June 1993 Key Skills Quality Assurance Inspection ...
- Feb 17
Columbus, OH
... ENOCHS 980-***-**** ad3pfd@r.postjobfree.com Professional Summary Certified Paralegal seeking a professional position in the Columbus, Ohio area Professional Experience JPMorgan Chase Bank Fraud Specialist 1 February 2023 – May 2023 • Working ...
- Feb 17
Columbus, OH
... • you are the victim of identity theft and place a fraud alert in your le; • your le contains inaccurate information as a result of fraud; • you are on public assistance; • you are unemployed but expect to apply for employment within 60 days. In ...
- Feb 12
Westerville, OH
... and research lead, and Chief Compliance Officer for a radiation oncology joint venture Various Forensic Accounting and Fraud Investigation Positions 05/1997 - 08/2007 EDUCATION/CERTIFICATIONS Certified in Healthcare Compliance 2017 Healthcare ...
- Feb 12