| Resume alert | Resumes 1 - 10 of 770 |
Business Analyst Customer Service
Annapolis, MD, 21403
... Analyzed of HIPAA (Health Insurance Portability and Accountability Act) transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470 (benefit codes), 835 (payment or remittance advice), 837 (health care ... - May 24
... Analyzed of HIPAA (Health Insurance Portability and Accountability Act) transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470 (benefit codes), 835 (payment or remittance advice), 837 (health care ... - May 24
Asp.Net .Net Core
Annandale, VA
... Claim process also done by EDGE. Responsibilities: Develop application code and modules for business and technical requirements. Interact with Business Analysist to determine their requirements and needs. Resolve and troubleshoot problems and ... - May 23
... Claim process also done by EDGE. Responsibilities: Develop application code and modules for business and technical requirements. Interact with Business Analysist to determine their requirements and needs. Resolve and troubleshoot problems and ... - May 23
Software Testing Test
Falls Church, VA
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim processing in both WGS and STAR profiles Utilized the trace tool to verify benefits for EDI (270-271) transactions Executed membership ... - May 22
... Client: Anthem, USA Responsibilities: Engaged in membership creation across WGS and STAR systems, as well as claim processing in both WGS and STAR profiles Utilized the trace tool to verify benefits for EDI (270-271) transactions Executed membership ... - May 22
Systems Analyst Business
Silver Spring, MD
... Manage, oversee, and guide technical advisor and 18-member team of claim analysts, as well as inventory management, distribution, and workflow analysis. Served as technical liaison to providers, members, and other departments regarding claim issues, ... - May 17
... Manage, oversee, and guide technical advisor and 18-member team of claim analysts, as well as inventory management, distribution, and workflow analysis. Served as technical liaison to providers, members, and other departments regarding claim issues, ... - May 17
Customer Service Data Entry
Hyattsville, MD
... Gathered, examined and retained relevant documents to complete and/or close out claim filed Reviewed, retrieved, and achieved filed claimant information needed to maintain proper case files, tracking and updated transactions and credited accounts ... - May 14
... Gathered, examined and retained relevant documents to complete and/or close out claim filed Reviewed, retrieved, and achieved filed claimant information needed to maintain proper case files, tracking and updated transactions and credited accounts ... - May 14
Data Entry Customer Service
Severn, MD
... Macleay & Barnes, LLC Bowie, MD Administrative Assistant Create new case files after the initial consultation File the claim onto the workers compensation website Assisted the secretaries when it was needed Log the new clients onto our database ... - May 12
... Macleay & Barnes, LLC Bowie, MD Administrative Assistant Create new case files after the initial consultation File the claim onto the workers compensation website Assisted the secretaries when it was needed Log the new clients onto our database ... - May 12
Customer Service Medical Collections
Baltimore, MD
... ●Confirmed insurance eligibility to insurance carriers for policies referrals and authorization is needed for claim adjudication. ●Resolved account discrepancies and prepared adjustments and refunds for approvals as necessary. ●Submitted carrier ... - May 11
... ●Confirmed insurance eligibility to insurance carriers for policies referrals and authorization is needed for claim adjudication. ●Resolved account discrepancies and prepared adjustments and refunds for approvals as necessary. ●Submitted carrier ... - May 11
Customer Service Medical Cannabis
Gwynn Oak, MD
... claims payment educate healthcare Administration processes • time frames • Case management resolution via high volume claim research billing and plan benefits • Subscriber’s enrollment, claims and appeal pharmacy Caremark third-party vendor • ... - May 11
... claims payment educate healthcare Administration processes • time frames • Case management resolution via high volume claim research billing and plan benefits • Subscriber’s enrollment, claims and appeal pharmacy Caremark third-party vendor • ... - May 11
Task Force Program Analyst
Washington, DC
... Train all new Data Discrepancy team members on how to resolve and claim note any errors on received documentation. Coordinate with management to develop methods to improve available SOP’s and services. Document Management Technician PAE/Department ... - May 08
... Train all new Data Discrepancy team members on how to resolve and claim note any errors on received documentation. Coordinate with management to develop methods to improve available SOP’s and services. Document Management Technician PAE/Department ... - May 08
Patient Care Medical Assistant
Alexandria, VA
... private, Medicare and insurance fraud • Collected payment for healthcare services provided • Completed insurance and other claim forms • Utilized classification software to assign clinical codes for reimbursement and data analysis • Medical billing ... - May 06
... private, Medicare and insurance fraud • Collected payment for healthcare services provided • Completed insurance and other claim forms • Utilized classification software to assign clinical codes for reimbursement and data analysis • Medical billing ... - May 06