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Philadelphia, PA
... • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies, and list of accepted insurance plans. • Verified documentation methodically to avoid critical errors impacting care delivery and payments ...
- 2023 Nov 27
Philadelphia, PA
... Assisted clients in choosing between a Medicare Complete or a Medicare Advantage Policy based on whether the client was living independently or in a nursing facility. 11/22/2004-10/24/2006 Bank of America, 550 Blair-Mill Road, Horsham, PA 19040 800- ...
- 2023 Nov 21
Philadelphia, PA
... Expertise includes: ●Infrastructure Management Enterprise Technology Service Operations, State Government, Medicaid/Medicare, Unemployment platform, SNAP, TANF, MA, Managed Care MCO, CMS interactions, Salesforce CRM implementation, and GxP Pharma ...
- 2023 Nov 20
Fort Washington, PA, 19034
... This was a policy administration system that was used to generate rates, handle billing, and generate fulfilment materials for all members that had Medicare supplement insurance plans. This was an internal system that is used by the business that is ...
- 2023 Nov 16
Blue Bell, PA
... (Agency) June 2016-March 2019 Independent Insurance Agent License Inbound call center to sell Medicare. Healthcare Dynamics International-Lanham MD October 2014- November 2015 Project Manager for Health Education Managed Diabetes Program Targeting ...
- 2023 Nov 16
Philadelphia, PA, 19115
... ● Courses to be a Certified Caretaker educated me on Medical Personnel, Prescription Pre-Authorization tactics, Medicare v.s Medicaid, access to many homecare needs ● Provide patients with a clean, comforting, and highly safe environment ● Assist ...
- 2023 Nov 11
Warrington, PA
... Harleysville, PA Medicare Supplements, (Part B of Medicare), Part C (Advantage Plans), and Part D, (Prescription drug plans). Humana, Anthem, Aetna, United Healthcare, Wellcare and Mutual of Omaha supplements and extras. Optum (formerly Catalyst360 ...
- 2023 Nov 11
Havertown, PA
... Experience (10+ years) • Anatomy Knowledge • Employee Orientation • Customer service (10+ years) • Documentation review • Medicare • Home care • Patient service • EMR systems • Laboratory Experience • Hospital Experience • Insurance Verification • ...
- 2023 Nov 07
Delran, NJ, 08075
... information PROFESSIONAL EXPERIENCE Innovage Staffing – Remote March 2022-Present PACE Chart Auditor - Reviewed all Medicare Member’s chart for IDT compliance Horizon Blue Cross /Blue Shield, Pennington, NJ February 2021-February 2022 Clinical ...
- 2023 Nov 01
Levittown, PA
... Assisted in offering the government the ability to implement programs (such as Medicaid and Medicare) rapidly with scalable operations and automated systems. UNISYS CORPORATION, Blue Bell, PA Call Center Supervisor, January 1994-April 1998 Initially ...
- 2023 Oct 31