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Investigator or Fraud or Medicare resumes in Columbus, OH, 43215

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Customer Service Data Entry

Columbus, OH
... in the provider inbound and outbound call center department working heavy call volume department which require to meet Quality standards and TAT status understanding of Medicare and Medicaid contracts and guidelines. Understanding member insurance ... - 2023 Dec 16

Pharmacy Technician Customer Service

Canal Winchester, OH
... in a timely manner while maintaining an average 9.0% rework rate - applying proper billing techniques with insurances : Medicare, Medicaid, Express Scripts etc - getting patients in and out in a timely manner all while providing the best customer ... - 2023 Dec 14

Service Representative Patient

Columbus, OH
Laura N ROSS **** ***** **** ****** Columbus, Ohio 43207 614-***-**** ad1w8f@r.postjobfree.com Skills Fraud Investigations, Knowledgeable in federal banking regulations, HIPPA laws and regulations. Skilled in time management, problem solving, ... - 2023 Dec 12

Customer Service Continuous Improvement

New Albany, OH
... Streamlined health plan options for non-Medicare retirees. Spearheaded the largest benefit enhancement in the pension fund's history, positively impacting both active and retired members. Rolled out defined contribution and combined plan retirement ... - 2023 Dec 11

Customer Service Representative

Columbus, OH
... of Job and Family Services, Columbus, OH November 2021-July 2022 (intermittent) Communicate with claimants, employers, and fraud victims to start unemployment benefits or report fraud. Upload and check FileNet for Personal Identifying documents. ... - 2023 Dec 10

Sr. Collections Speacialist

Columbus, OH
... and a knowledge of medical coding and billing through agencies such as State MCR-Medicare/MCD-Medicaid, MRDD-Mental Retardation and Developmental Disabilities, BWC- Bureau of Worker’s Compensation, VA- Veteran Affairs and Commercial Insurances; ... - 2023 Nov 30

Customer Service Representative

Pickerington, OH
... for fraudulent check charges ● Balanced large customers accounts and general ledgers ● Researched customer claims of fraud on Visa and MasterCard Accounts ● Responded to correspond via telephone or mail to resolve customer issues ● Ordered ... - 2023 Nov 26

Office Manager/Insurance Specialist

Columbus, OH
... r.postjobfree.com WORK EXPERIENCE Office Manager/Insurance Specialist Cardinal Family Eye Care Worthington, OH Aug 2016 - Present Prepared and submitted insurance claims, reports, and financial statements, including those required by Medicare. ... - 2023 Nov 22

Data Analyst Oracle Sql

Hilliard, OH
... Recorded Medicaid, Medicare, Molina, Aetna income and expense journal entries into accounting software’s. As a manager ... Assisted with a Fraud Departments acquisition of workable data files from state agencies to match and identify suspicions ... - 2023 Nov 22

Customer Service Qa Tester

Columbus, OH
... Modules Handled: (1) DAC – Dynamic Authorization Control This business rules engine allows rapid response to changing fraud threats and market conditions. Used primarily to deny fraud and inappropriate credit risks. DAC also allows variables to ... - 2023 Nov 21
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