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Galloway, OH, 43119
... Center For Medicare Services (CMS) Dynamics 365 Sr Developer (Contract) (Cognosante/Avilamb)(Full Remote Jan 2021 – April 2022) HIPPA Compliance: I have received training and adhered to US Govt HIPPA Compliance Standards. Quality Assurance Procedure ...
- Oct 30
Columbus, OH
... care concepts (Medicaid and Medicare) and experienced in determining the membership eligibility, billing experience within life and disability in health plans with thorough understanding of CPT coding, CMS-1500 claim forms and reimbursement forms. ...
- Oct 14
Columbus, OH, 43210
... Spearheaded, coordinated, and executed TOC clinic with physicians and residents Improved readmission hospitals, hospital follow calls and appointments Knowledge of CMS criteria Excellent people skills Expert in assessment, diagnosis, planning, ...
- Oct 08
New Albany, OH
... Oracle, MySQL, MongoDB, Firebase, XML, JSON, REST Docker, Kubernetes, Jenkins, Git Version Control, Microservices, ServiceNow ITSM, Microsoft Office, Postman, WordPress, Microsoft Azure, AWS, OCI Gen AI Service, OpenAI, RAG, LLM, Prompt Engineering
- Sep 19
Columbus, OH
... track record providing outstanding customer service to a diverse client base ● Medical Claims management, HIPPA Compliant, ● CMS-1500 billing experience and received extensive training in HIPAA compliance and regulations ● Dependable professional ...
- Sep 19
Columbus, OH
... insurance appeals • Implement financial policy for pre-service payment • Maintain ongoing knowledge of commercial, Managed Care, CMS billing reimbursement, and policy guidelines • Devise and implement financial assistance policy • Increase net ...
- Sep 03
Columbus, OH
... Sedgwick CMS Quality Testing Analyst May 2012-December 2014 ●Automated testing processes in QTP 11.0, migrating scripts to Quality Center to streamline testing efforts. ●Reviewed and analyzed business specifications, designing complex test scenarios ...
- Aug 28
Columbus, OH
... Sedgwick CMS Quality Testing Analyst May 2012-December 2014 ●Automated testing processes in QTP 11.0, migrating scripts to Quality Center to streamline testing efforts. ●Reviewed and analyzed business specifications, designing complex test scenarios ...
- Aug 22
Columbus, OH
... Business Implementations/Analyst Intern July 2020 – August 2021 - Interacted with stakeholders to finalize requirements compliant with CMS and HIPAA regulations. - Participated in JAD sessions to identify business flows and system impacts. - Managed ...
- Aug 15
Columbus, OH
... May’ 16 to Mar’ 18, Sedgwick CMS, OH, Sr. Dot Net Developer/IT Advisor Environment: Visual Studio 2015/ASP.Net 4.5/ MVC 4 & 5/ SQL Server 2012/ KnockOut JS Framework for UI/ HTML5 & CSS3, TypeScript, BootStrap, DEV Express, OneTeam Web – Project is ...
- Aug 08