| Distance: | Resume alert | Resumes 1 - 10 of 252 |
Call Center Service Representative
Canal Winchester, OH
... and changed consumers managed care plan in a call center Completed yearly Medicaid renewals Educated consumers on Medicare and how their benefits changed once Medicare started and Medicare Premium Assistance Programs when they were no longer ... - Sep 05
... and changed consumers managed care plan in a call center Completed yearly Medicaid renewals Educated consumers on Medicare and how their benefits changed once Medicare started and Medicare Premium Assistance Programs when they were no longer ... - Sep 05
Siu Investigator Claims Adjuster
Columbus, OH, 43215
... MSO / WC Claims Specialist Aetna – New Albany, OH September 2019 – April 2020 Manage CPT code modifications and process Medicare reimbursements for New Jersey-based providers. Maintain compliance with Medicare regulations while ensuring timely and ... - Aug 11
... MSO / WC Claims Specialist Aetna – New Albany, OH September 2019 – April 2020 Manage CPT code modifications and process Medicare reimbursements for New Jersey-based providers. Maintain compliance with Medicare regulations while ensuring timely and ... - Aug 11
Billing Specialist Data Entry
Columbus, OH
... managed office tasks and consistently met assigned deadlines Billing Specialist AultCare, Jul 2007 – Jun 2011 Processed Medicare claims both manually and electronically Ensured timely submissions and consistently met deadlines Monitored account ... - Jul 30
... managed office tasks and consistently met assigned deadlines Billing Specialist AultCare, Jul 2007 – Jun 2011 Processed Medicare claims both manually and electronically Ensured timely submissions and consistently met deadlines Monitored account ... - Jul 30
Data Analyst
Columbus, OH
... & University of Iowa Tippie College of Business April 2025 • Utilized Tableau Prep to clean, transform, and standardize healthcare datasets, and applied a SARIMA forecasting model in Python(statsmodels) to predict Medicare Advantage utilization ... - Jul 29
... & University of Iowa Tippie College of Business April 2025 • Utilized Tableau Prep to clean, transform, and standardize healthcare datasets, and applied a SARIMA forecasting model in Python(statsmodels) to predict Medicare Advantage utilization ... - Jul 29
Customer Service Business Analyst
Franklin Township, OH, 43223
... •Worked all Coordination of Benefit (Secondary) claims and developed internal procedures regarding Medicare Part D and new/existing plan changes consistently. •Researched/developed procedures for resolving Medicare claims for the CAP (Competitive ... - Jul 19
... •Worked all Coordination of Benefit (Secondary) claims and developed internal procedures regarding Medicare Part D and new/existing plan changes consistently. •Researched/developed procedures for resolving Medicare claims for the CAP (Competitive ... - Jul 19
Commercial Insurance Project Management
Columbus, OH
... To become an integral team member in an organization that values loyalty and commitment, through utilization of my extensive knowledge and understanding of Medicare and commercial insurance policies to assist in effective medical decision making. ... - Jul 16
... To become an integral team member in an organization that values loyalty and commitment, through utilization of my extensive knowledge and understanding of Medicare and commercial insurance policies to assist in effective medical decision making. ... - Jul 16
Branch Manager Life Insurance
Columbus, OH
... DO YOU OR ANY OF YOUR DEPENDENTS RECEIVE MEDICARE BENEFITS? Yes No. If Yes, please continue. Medicare Health Insurance Claim Number (HICN) Medicare Effective Date Name of Covered Person (s): 1. 2. 3. C. LIMITED BENEFITS PLAN SELECTION Payroll ... - Jul 06
... DO YOU OR ANY OF YOUR DEPENDENTS RECEIVE MEDICARE BENEFITS? Yes No. If Yes, please continue. Medicare Health Insurance Claim Number (HICN) Medicare Effective Date Name of Covered Person (s): 1. 2. 3. C. LIMITED BENEFITS PLAN SELECTION Payroll ... - Jul 06
Customer Service Call Center
Columbus, OH
... •Understanding and fully complying with all federal and state laws and regulations (HIPPA, Medicare Fraud, Waste and Abuse, etc.) regarding collections policies and procedures. •Proactively identifies solutions to non-standard request. INTAKE CARE ... - Jun 20
... •Understanding and fully complying with all federal and state laws and regulations (HIPPA, Medicare Fraud, Waste and Abuse, etc.) regarding collections policies and procedures. •Proactively identifies solutions to non-standard request. INTAKE CARE ... - Jun 20
Quality Control Front Desk
New Albany, OH
... Remote Biller and Patient Accounts Manager Hines Chiropractic and Rehabilitation Clinic – Rogers, AR – April 2017 to July 2019 Billed insurance companies and resolved disputes Posted payments to patient accounts and generated invoices as necessary ... - Jun 13
... Remote Biller and Patient Accounts Manager Hines Chiropractic and Rehabilitation Clinic – Rogers, AR – April 2017 to July 2019 Billed insurance companies and resolved disputes Posted payments to patient accounts and generated invoices as necessary ... - Jun 13
Program Manager Project
Powell, OH, 43065
... Adept at leveraging Agile and Waterfall methodologies to drive successful project delivery, improve operational efficiency, and enhance patient outcomes within diverse healthcare settings, including Medicaid/Medicare, payer organizations, and ... - Jun 02
... Adept at leveraging Agile and Waterfall methodologies to drive successful project delivery, improve operational efficiency, and enhance patient outcomes within diverse healthcare settings, including Medicaid/Medicare, payer organizations, and ... - Jun 02