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Payer or Credentialing resumes in Columbus, OH, 43215

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Medical Billing Accounts Receivable

Whitehall, OH, 43213
... and served a trainer for new employees in billing operations ● Performed error free billing and collections from multiple payer sources ● Reviewed claims for completeness and accuracy before claims were released ● Served as customer service liaison ... - Sep 24

Human Resources Practitioner (all areas of HR)

Columbus, OH
... Tracked and processed credentialing for physicians and clinical staff. Coordinated benefit enrollments and educated staff on benefit offerings. COLUMBUS CITY SCHOOLS — COLUMBUS, OH Board of Education Administration HR Consultant – Benefits Analyst & ... - Aug 12

Pharmacy Technician Medical Records

Columbus, OH
... SKILLS • Registration and Admissions • Document Review • Credential Verification • Medical Records Management • Provider Credentialing • Insurance Claim Processing • Proficient at Data Entry • Effective Written and Verbal Communication • Prior ... - Jul 31

Nurse Practitioner Mental Health

Columbus, OH, 43215
... Westerville, OH December 2013 Board-Certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC), American Nurses Credentialing Center (ANCC), 11/30/24 Registered Nurse (RN), Multistate (Compact) License, 12/31/25 Basic Life Support (BLS), 12 ... - Jun 10

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

Customer Service Team Lead

Columbus, OH
... May also be responsible for reviewing and resolving third party payer issues. Assist and prepare all documents to submit custodian of records. UPMC Mercy Hospital, Pittsburgh PA Health Unit Coordinator 07/2010-01/2011 Called and transferred consults ... - May 25

Alan G. Leathers, RN., MSN

Columbus, OH
... EXPERIENCE MEDECISION, King of Prussia, PA (remote from Ohio) December 2023-December 2024 Clinical Adoption Partner Clinical transformation consultant, specializing in payer market applications client services in software specific for Care ... - May 11

Registered Nurse Data Governance

Blacklick, OH
... Supported data mapping of payer and provider systems to FHIR. Subject matter expertise related to HL7 FHIR Release 4.0.1, CARIN IG, US Core IG, and various FHIR implementations. SQL (Postgres, Athena, Presto/Trino), OpenSearch Kibana Query Language ... - May 07

Safety Coordinator Patient Advocate

Columbus, OH
... 614-***-**** Cell Express Personnel Services Gehenna, OH 2008-2009 2008-2009 Account Specialist 3rd party payer medical billing; follow up billing and collections Medicare and Medicaid accounts w/secondary follow-up, to other payer sources. Account ... - Apr 20

Product Owner Management

Columbus, OH
... RELEASE MANAGER: 3/2023 – 10/2023 • HealthEdge • Burlington, MA Managed the full SaaS release lifecycle for HealthEdge’s healthcare platform, ensuring secure, stable deployments across payer and provider systems. Acted as the central liaison between ... - Apr 03
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