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Provider Credentialist

Harrisburg, PA, 17111
Carmela Smith *** **** ***, **********, ** ***** ada7vx@r.postjobfree.com Cell phone: 717-***-**** EXPERIENCE UPMC Pinnacle, Camp Hill, PA October 2017 – Present AR Follow-up Specialist ● Responsible for performing claim research and follow-up work ... - 2020 Jan 05

Software Quality Analyst

Mechanicsburg, PA
... Created/executed/managed, test plan, test scripts, defects for the Audit Review Tool for CA&C (Claim Audit & Compliance). EDUCATION Bachelor of Technology (Computer Science) LANGUAGES AND TECHNOLOGIES C#.NET, VB.NET, ASP.NET, ASP.Net MVC, Web API, ... - 2019 Sep 16

Computer Programmer / Analyst

Harrisburg, PA
... Programmer/Analyst ( IBM AS/400 – RPG III, CLP ) 08/1988 - 09/1989 Modification and further development to Payroll, Tax Claim, Tax Assessment, and Accounting systems Computer Operator ( IBM System 38 ) 02/1987 - 08/1988 Preparation of daily, ... - 2019 Apr 28

CEO CFO

Mechanicsburg, PA
... Contract management in tender and project phase regarding all commercial and financial aspects Negotiations with key customers, sub suppliers and joint venture partners Financial controlling / budgeting of large infrastructure projects Claim ... - 2018 May 21

Human Resource Customer Service

Harrisburg, PA
... PA National Insurance Company - 1987-1988 - Clk Typist/Receptionist This position was responsible for performing routine typing of insurance claim forms for the WC Department as well as being responsible for all incoming calls for the department. ... - 2018 Jan 10

Customer Service Medical

Mechanicsburg, PA
... Administrative Assistant Duties included claims processing, claims research, manual processing including fees, interest accrual, and supplemental payments, correspondence, check returns, claim rebuilds, premium holds, claim correction, member ... - 2017 Nov 27

Manager Case

Mechanicsburg, PA
... Developed workflows for the document work process of the social services benefits claim, which involves lot of approvals and work queues. Developed workflows for the business logic, which involves many approval processes. Workflow involves around 15 ... - 2017 Nov 25

Quality Assurance Project Manager

Grantville, PA
... WORK EXPERIENCE Independent Contractor 06/00 – Present As an independent contractor, I am responsible for online and batch applications that facilitate via a telephone inquiry from a provider or client, to retrieve medical claim information and ... - 2017 Aug 16

Customer Service Representative

Harrisburg, PA
... - Contact customers in order to respond to inquiries or to notify them of claim investigation results and any planned adjustments. - Meets and exceeds sales and productivity targets Accurately processes customer transactions. EDUCATION Real Estate ... - 2017 Jul 16

Customer Service Data Entry

Harrisburg, PA, 17113
... Executed daily operations of scanning and indexing of incoming claim information into system, routed faxes, entered & balanced data into online billing system, deposit data entry confirmation procedure and reconcile with bank deposit on automated ... - 2017 Jun 01
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