| Resume alert | Resumes 11 - 20 of 1079 |
business analyst
Irving, TX
... Worked on claims and configuration to resolve provider issues, analysing Medicare and Medicaid guidelines. Generated Business Requirement documents (BRD) and Functional Specification design documents. Reporting Analyst responsible for gathering ... - May 24
... Worked on claims and configuration to resolve provider issues, analysing Medicare and Medicaid guidelines. Generated Business Requirement documents (BRD) and Functional Specification design documents. Reporting Analyst responsible for gathering ... - May 24
Prior Authorization Technical Support
Dallas, TX, 75201
... Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations. Maintained files for referral and insurance information, entering referrals into ... - May 23
... Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations. Maintained files for referral and insurance information, entering referrals into ... - May 23
Data Entry High School
Lewisville, TX
... Medicaid TMHP, Molina and Superior attendant services according to diagnosis code authorized and self-pay patients. Admit patients in Primary Home Care Service. Ensure that the implementation of the PHC programs conform to internationally accepted ... - May 22
... Medicaid TMHP, Molina and Superior attendant services according to diagnosis code authorized and self-pay patients. Admit patients in Primary Home Care Service. Ensure that the implementation of the PHC programs conform to internationally accepted ... - May 22
Customer Service Call Center
Dallas, TX, 75225
... Reconciliation, Explanation of Benefits, UNET, Billing, Medicare Prescription Drug Plans, Medicare Supplements, Medicare/Medicaid Reimbursement, Medicare Part D, Dispute Resolution, Collections, Employee Mentorship, Copiers, Data Entry, Debtmaster, ... - May 18
... Reconciliation, Explanation of Benefits, UNET, Billing, Medicare Prescription Drug Plans, Medicare Supplements, Medicare/Medicaid Reimbursement, Medicare Part D, Dispute Resolution, Collections, Employee Mentorship, Copiers, Data Entry, Debtmaster, ... - May 18
Quality Assurance Engineer
Roanoke, TX
... *Experience working on Commercial, Medicaid, Medicare, and EGWP plans *Experience working for CVS client on clinical and benefit test cases for BCBSTN and BCBSMA MAY 2018 – MARCH 2023 LEAD QUALITY ASSURANCE ENGINEER, cognizant technology solutions ... - May 13
... *Experience working on Commercial, Medicaid, Medicare, and EGWP plans *Experience working for CVS client on clinical and benefit test cases for BCBSTN and BCBSMA MAY 2018 – MARCH 2023 LEAD QUALITY ASSURANCE ENGINEER, cognizant technology solutions ... - May 13
Customer Service Social Media
Dallas, TX, 75225
... reported to Medicaid Annually *Oversaw 75 employees including nurses *Created weekly goal plans and exercises for each one of our clients SKILLS Excel/Microsoft Word/Microsoft Outlook/Publication Publisher/Google Drive/Skype for business/ Telechat p - May 10
... reported to Medicaid Annually *Oversaw 75 employees including nurses *Created weekly goal plans and exercises for each one of our clients SKILLS Excel/Microsoft Word/Microsoft Outlook/Publication Publisher/Google Drive/Skype for business/ Telechat p - May 10
Entry Level Data
Desoto, TX
... Advanced in ICD-9/ CPT-10 coding aswell as Medical Terminology Knowledgeable in HIPAA Laws, HCPCS coding TVandMedicare / Medicaid Trained in Patient Confidentiality, Medisoft software,Health Records Maintenance Excelling over 6 years in customer ... - May 01
... Advanced in ICD-9/ CPT-10 coding aswell as Medical Terminology Knowledgeable in HIPAA Laws, HCPCS coding TVandMedicare / Medicaid Trained in Patient Confidentiality, Medisoft software,Health Records Maintenance Excelling over 6 years in customer ... - May 01
Care Coordinator Scheduling
Dallas, TX, 75254
... Develops and maintains a working knowledge of current Medicaid and insurance regulations. Interviews and hires staff as needed and approved by management with emphasis on recruiting the best qualified candidates. Evaluates each employee annually and ... - Apr 29
... Develops and maintains a working knowledge of current Medicaid and insurance regulations. Interviews and hires staff as needed and approved by management with emphasis on recruiting the best qualified candidates. Evaluates each employee annually and ... - Apr 29
Life Insurance Client Relations
Garland, TX
... that required correction based on contract or fee schedule to provide provider with correct payment or EOB • Processed Medicaid, Medicare, and Specialty Program claims and determined possibility of Coordination of Benefits (COB) on each claim • ... - Apr 29
... that required correction based on contract or fee schedule to provide provider with correct payment or EOB • Processed Medicaid, Medicare, and Specialty Program claims and determined possibility of Coordination of Benefits (COB) on each claim • ... - Apr 29
Power Bi Data Quality
Dallas, TX, 75225
... LEAD DATA ANALYST OPTUM CARE JAN 2023 – TILL DATE •Lead analysis of data from a multitude of sources (Medicare data, Medicaid data, PHI, Claims, Provider, Reference, Enrollments data) to generate actionable insights and recommendation and category ... - Apr 27
... LEAD DATA ANALYST OPTUM CARE JAN 2023 – TILL DATE •Lead analysis of data from a multitude of sources (Medicare data, Medicaid data, PHI, Claims, Provider, Reference, Enrollments data) to generate actionable insights and recommendation and category ... - Apr 27