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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
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
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
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
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
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
Lewis Center, OH
... patient care: Checking in and out patients, preparing insurance and prepping accounts including completing insurance aging, making courtesy phone calls to collect account balances, making appointment reminder phone calls, presenting treatment ...
- Jun 08
Orange Township, OH, 43035
... Proven track record in leading SQA strategies for the Ohio Integrated Eligibility System (OIES), supporting programs such as Medicaid, SNAP, TANF, Childcare, Managed Care Enrollment, and SACWIS Led cross-functional efforts to identify, prioritize, ...
- Jun 05
Hilliard, OH
... State of Ohio Department of Aging Columbus, OH Compliance Intern 9/2023- 4/2024 Assisted in analyzing financial statements in preparation for compliance/audit reviews Maintained a data dashboard focused on the Nursing homes of all cities in Ohio; ...
- Jun 03
Hilliard, OH
... OH - Took 100+ daily inbound calls from members for customer service needs - Explained member vision benefits, check eligibility and update member status - Work with providers’ authorizations claims information and claim adjustments - Mentor new ...
- Jun 01