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Resumes 41 - 50 of 222 |
Columbus, OH
... for providing superior customer service to customers and providers and was able to understand needs of those served Answered and responded to 40 provider calls and assisted with any inquiries in relation to eligibility, benefits and claims status. ...
- Feb 01
New Albany, OH
... *Researched member’s eligibility for referrals and authorization. *Researched enrollment status and covered benefits for covered services. Reviewed medical necessity for appropriate care. *Process/adjust complex health & dental & workman’s comp ...
- Jan 19
Lewis Center, OH
... Established eligibility for T-Mobile’s customers purchasing devices based on their credit class using various tools and applications. Managed, validated and tracked orders; and established and executed risk mitigation processes to prevent fraud. ...
- Jan 17
Columbus, OH
... Completed cases and all the background checks on customer to check for eligibility Education High school diploma West High School - Columbus, OH September 1984 to June 1988 Skills • Logistics • Windows • Customer service • Administrative experience ...
- Jan 12
Columbus, OH
... ● Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage ● When contacting payers directly, utilizes approved scripting ● ...
- 2023 Dec 31
Groveport, OH, 43125
... Columbus, Ohio 2012 - 2015 Medical Assistant • Interviewed patients, obtained insurance eligibility • Prepared treatment rooms for patient’s examinations obtained vital signs height and weight recording information according to HIPPA requirements. ...
- 2023 Dec 01
Columbus, OH
... for member eligibility and checked the state fee schedules for claim pricing. Leadership Accustomed to working in a fast-paced, customer driven environment with natural leadership skills. References {Available upon request ] A New Message
- 2023 Nov 20
Plain City, OH, 43064
... Led the transition of the web portal for Gainwell’s Ohio Medicaid Single Pharmacy Benefits Management (start up company) from implementation team to business operations team Assisted with Finance, Claims, Eligibility & Provider projects and ...
- 2023 Nov 14
Columbus, OH
... • Gathered customer information through phone conversations, intuitive questioning, and customized fact finding to determine eligibility of benefits and to verify claimant identity and income. • Reviewed benefit redeterminations and process ...
- 2023 Nov 06
Columbus, OH
... and CompManagement Health Systems Dublin, OH Claims Examiner 2008-2012 Conducted thorough reviews of workers' compensation claims, assessing compensability and eligibility for benefits. Maintained clear and timely communication with injured workers, ...
- 2023 Nov 03