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Resumes 31 - 40 of 112 |
Dublin, OH, 43017
... Manager Medicare Managed Care Appeals and Grievances and Quality- BCBSNC Winston Salem, NC June 2013-Dec 2016 Facilitated and adhered to processing timeliness to ensure compliance of CMS mandates and initiatives; while ensuring accurate, updated ...
- 2021 Oct 18
Columbus, OH
... Respond to third party inquiries regarding level of service coding, evaluate denied claims and file appeals when necessary. Certified Coder 10/11-5/13-Reviewed patient charts to determine accurate CPT, HCPCS and ICD-10 codes for billing based on ...
- 2021 Jun 24
Columbus, OH
... Eligibly (Insurance) PROFESSIONAL EXPERIENCE Centene Corporation Columbus, Ohio 2017-Senior Customer Service RepresentativePresent Assits medical proveiders with medical claims, prior authorization assistance, locating appeals, HIPPA verifications. ...
- 2021 Mar 29
Columbus, OH
... Currently building the UM policies for the health plan as well as the denials and appeals team being developed to effectively manage denials, fair hearings, and appeals. • Oversaw a Care Management team responsible for supports coordination, ...
- 2021 Feb 18
Powell, OH
... Committee, Mount Carmel College of Nursing • Online Council Committee, Mount Carmel College of Nursing • Chair, Academic Appeals Committee, Mount Carmel College of Nursing • Sigma Theta Tau International Lead Course Instructor: • Graduate-level ...
- 2020 Dec 03
Columbus, OH
... Executive Officer Run the social media pages for multiple brands Create digital content that appeals to the masses such as websites, flyers, and logos Create T-Shirt designs for brands Freelance graphic designer Kappa Alpha Psi Fraternity, Inc. ...
- 2020 Nov 23
Columbus, OH
... • Work with students and faculty to resolve conflicts and serve as the second step in grade appeals. Software Developer/UX Designer, Department of Public Safety, Columbus, OH 01/2015 to 12/2016 Assisted in post-production support of business ...
- 2020 Nov 18
Columbus, OH
... 2019 Data Entry of Nurses information and mailings Ohio Department of Tax Appeal June 2019 - August 2019 Data entry of Tax Appeals and checking spelling Ohio Tax Department April 2019 - May 3, 2019 Opening mail and preparing documents for scanning ...
- 2020 Sep 30
Pataskala, OH
... 11/99 to 7/09 XLNsystems/Various Clients Set up small office networks for: Job & Family Services Capital City Awning Ohio Hospital Insurance Company The Ohio Lottery Netsmart Cathedral Book Shop Personnel Board of Review Board of Tax Appeals ...
- 2020 Sep 04
Columbus, OH
... Josephs Mercy Hospital – Detroit 8 weeks • Emergency Medicine Henry Ford - West Bloomfield 4 weeks • Trauma Surgery Detroit Receiving Hospital 4 weeks • Pediatrics Doctors for Kids – Rochester Hills 4 weeks • OBGYN Dr. Ghazala Azam – Dearborn 4 ...
- 2020 Aug 05