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Eligibility or Castle resumes in Columbus, OH, 43215

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Work Home, customer service, medical, and administrative duties

Columbus, OH
... ●Verified patient insurance coverage, benefits, and eligibility. ●Maintained and updated internal listings of insurance carriers that require authorization, and current method to obtain authorization. ●Verified all procedures by insurances requiring ... - Sep 03

Family Services Insurance Operations

Franklin Township, OH, 43223
... A1002D182E0066462018G Claimant's Name Social Security Number Benefit Year Beginning Date Benefit Year Ending Date Date Mailed Return to: OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OFFICE OF UNEMPLOYMENT INSURANCE OPERATIONS NOTICE OF ELIGIBILITY ... - Aug 24

Test Manager Software Development

Columbus, OH
... ●Tested each individual APIs and respective UI and verified the data flow in Splunk right from customer creation, get their eligibility, enrollments/ assignment to multiple interfaces, get each customer detail and sending that info to external team. ... - Aug 18

Data Analyst

Columbus, OH
... • Integrated ZIP-level demographic and economic datasets to evaluate Medicaid eligibility shifts, performing gap analysis that revealed over 40,000 additional individuals likely to qualify due to inflation, unemployment trends, and wage stagnation, ... - Jul 29

Customer Service Business Analyst

Franklin Township, OH, 43223
... •Interacted Daily with Plans verifying eligibility, obtaining overrides, obtaining/renewing prior authorizations, reverse/resubmit claims, opening windows to reprocessing old claims. •Resolved issues with any escalated orders. •Spoke with various ... - Jul 19

Commercial Insurance Project Management

Columbus, OH
... EXPERIENCE November 2018 – August 2023 Medicare Customer Care Specialist Health First Health Systems ● Rockledge, FL Subject Matter Expert (SME) of medical benefit coverages and eligibility responses to patients and medical offices. Employee of the ... - Jul 16

Customer Service Representative

Columbus, OH
... Customer Service Representative ModivCare September 2020 to May 2021 I provided medically necessary transportation services for anyone who qualified, check insurance eligibility, file complaints Handled customer inquiries and suggestions courteously ... - Jul 15

Customer Service Call Center

Columbus, OH
... •Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded. •Educate customers on financial issues and provided good explanation for their financial issues. •Understanding and fully complying with all ... - Jun 20

Quality Assurance Customer Service

Canal Winchester, OH
... • Provided accurate and timely information to applicants, guiding them through eligibility requirements and the application process. • Managed inbound inquiries in a call center environment, offering professional assistance and problem resolution ... - Jun 16

Financial Aid Business Administration

Hilliard, OH
... Provides counseling and administrative assistance in the Eligibility, Analysis and Operations area in Student Financial Aid (SFA) for undergraduates, graduate and professional students within the Office of Strategic Enrollment Management (OSEM). ... - Jun 16
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