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Hilliard, OH
... or trends from each Insurance company and provide resolution Appeals all denials for medical necessity with clinical documentation received from ordering physician offices, ORB and HPF Contacts Insurance companies for claim status and resolution. ...
- Jun 16
Hilliard, OH, 43026
... Led Six Sigma-based initiatives to enhance operational efficiency, including the development of a web-based database in collaboration with clinical informatics for improved recordkeeping accuracy. Developed and launched a system-wide Video Relay and ...
- Jun 14
Columbus, OH
... TECHNICIAN, Escondido, CA Acuity Eye Group Booked, managed, and confirmed new and existing patient appointments for clinical procedures, complete exams, and follow ups • • Obtained and verified all necessary personal information and insurances ...
- Jun 10
Columbus, OH, 43215
Liliane Chekeu Highly skilled psychiatric-mental health nurse practitioner clinical intern with extensive experience in assessing, diagnosing, and treating mental health conditions across all age groups. Conducts comprehensive psychiatric ...
- Jun 10
Lewis Center, OH
... running morning huddle reports, balancing the end of day and completing reports, ordering office supplies, working and sending claims, making deposits, scanning checks, working and maintaining the schedule, filled in for clinical work as needed; ...
- Jun 08
Columbus, OH
... 11/2014-04/2017 Prior Authorization Representative • Express Scripts Managed inbound calls from pharmacists and doctors regarding prior authorizations by screening and reviewing requests based on benefit plan design, client specifics and clinical ...
- Jun 04
Powell, OH, 43065
... Analysis EMR Integration (Cerner, EPIC, EPIC PP, Healthiva, Medent) Healthcare Analytics Health Information Exchange (HIE) Clinical Data Architecture Healthcare Claim Processing Population Health Analytics Case Management CDA RCM M&A ● Technical & ...
- Jun 02
Hilliard, OH
... -Act as an advocate for the members by communicating with network liaison, clinical professionals and finance staff at hospitals and medical offices. -Investigate financial discrepancies and claim issues to ensure members and clients are billed ...
- Jun 01
Columbus, OH, 43235
Charuta Kale Clinical Research & Operations Analyst Ohio, USA ************@*****.*** Professional Summary Experienced clinical research professional with 5+ years of cross-functional coordination across Phases I–III trials and 10+ years of ...
- May 27
Columbus, OH
... CIGNA HEALTHCARE, Richmond VA Quality Reviewer Project management in planning, coordinating, and overseeing facilities' compliance with applicable governmental regulations, internal policies and procedures. Reduced expenses by accurately ...
- May 27