| Resume alert | Resumes 21 - 30 of 407 |
Grievance and Appeals
Columbus, OH
... 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 building and sending three-day authorizations ... - Mar 18
... 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 building and sending three-day authorizations ... - Mar 18
Customer Service Accounts
Dublin, OH
... sales tax exemption certificate THE OHIO DEPARTMENT OF DEVELOPMENT, Columbus, OH January 2014 - January 2015 Account Clerk III / The Home Energy Assistance Program Performed Evaluation eligibility and applications services to applicants for HEAP. ... - Mar 18
... sales tax exemption certificate THE OHIO DEPARTMENT OF DEVELOPMENT, Columbus, OH January 2014 - January 2015 Account Clerk III / The Home Energy Assistance Program Performed Evaluation eligibility and applications services to applicants for HEAP. ... - Mar 18
Delivery Driver Convention Center
Reynoldsburg, OH
... eligibility, billing and payments, authorizations). • Promoted tools and technology to improve and enhance payment process. • Supported the contractual agreement with the customer/client to ensure compliance with local/state/federal regulations. • ... - Mar 13
... eligibility, billing and payments, authorizations). • Promoted tools and technology to improve and enhance payment process. • Supported the contractual agreement with the customer/client to ensure compliance with local/state/federal regulations. • ... - Mar 13
Victim Advocate, Microsoft office, attention to detail
Columbus, OH
... Eligibility Referral Specialist – Ashland County Dept of Job and Family Services, Ashland, Ohio August 2011 to January 2012 Assisted individuals in locating resources Determined eligibility for services including food and cash assistance and Medicaid ... - Mar 07
... Eligibility Referral Specialist – Ashland County Dept of Job and Family Services, Ashland, Ohio August 2011 to January 2012 Assisted individuals in locating resources Determined eligibility for services including food and cash assistance and Medicaid ... - Mar 07
United States Collection Specialist
Columbus, OH
... Contact insurance Companies to check patient's eligibility. Sending out appeals on denied claims. Billing patients, taking payments over the phone. October 2014-March 2016 JR Loan Processor Secure Lending Mortgage Cleveland, Ohio, United States ... - Mar 05
... Contact insurance Companies to check patient's eligibility. Sending out appeals on denied claims. Billing patients, taking payments over the phone. October 2014-March 2016 JR Loan Processor Secure Lending Mortgage Cleveland, Ohio, United States ... - Mar 05
Customer Service Representative
Columbus, OH
... CPT Coding Data Entry Verbal and Written Communication Call Center Operations Insurance Policy Sales Insurance Coverage Verification Premium Calculations HIPAA Compliance Customer Engagement Insurance Eligibility Customer Billing LANGUAGES English - Mar 03
... CPT Coding Data Entry Verbal and Written Communication Call Center Operations Insurance Policy Sales Insurance Coverage Verification Premium Calculations HIPAA Compliance Customer Engagement Insurance Eligibility Customer Billing LANGUAGES English - Mar 03
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
High Level Team Members
Blacklick, OH
... April 1999 to March 2013 Managed 6 Group Homes for adults with special needs • Responsible for managing social security and Medicaid benefits for up to 60 resident adults with disabilities • Reconciled Room and Board • Managed funds of the adults in ... - Feb 27
... April 1999 to March 2013 Managed 6 Group Homes for adults with special needs • Responsible for managing social security and Medicaid benefits for up to 60 resident adults with disabilities • Reconciled Room and Board • Managed funds of the adults in ... - Feb 27
Data Entry Customer Service
Columbus, OH
... Analyzing FMLA claims to determine eligibility and certification in compliance with state and federal regulations Communicating absence and return to work information to client. Staffing claims with clinician, as appropriate. Coordinating certain ... - Feb 27
... Analyzing FMLA claims to determine eligibility and certification in compliance with state and federal regulations Communicating absence and return to work information to client. Staffing claims with clinician, as appropriate. Coordinating certain ... - Feb 27
Prior Authorization Specialist
Columbus, OH
... •Verified patient eligibility both online & over the phone. •Obtained prior authorizations & notifications as required by ... •Assisted uninsured qualified patients in obtaining Medi-Cal(California Medicaid). Accounts Receivable Supervisor Engage ... - Feb 13
... •Verified patient eligibility both online & over the phone. •Obtained prior authorizations & notifications as required by ... •Assisted uninsured qualified patients in obtaining Medi-Cal(California Medicaid). Accounts Receivable Supervisor Engage ... - Feb 13