| Resume alert | Resumes 1 - 10 of 1376 |
Supply Chain Medical Biller
Manhattan, NY, 10019
... in Processing and Handling of Potent Compounds and Controlled Substances (Class II & III) In-depth knowledge of processing full-cycle billing and charge entry for all types of claims Payment postings, claim follow up, preauthorization’s and EOB’s. ... - May 23
... in Processing and Handling of Potent Compounds and Controlled Substances (Class II & III) In-depth knowledge of processing full-cycle billing and charge entry for all types of claims Payment postings, claim follow up, preauthorization’s and EOB’s. ... - May 23
Machine Learning Data Science
Leonia, NJ, 07605
... ● Predicted the claim severity to understand future loss and ranked importance of features ● Used Python3.X, Python 2.X to implement different machine learning algorithms including Generalized Linear Model, SVM, Random Forest, Boosting and Neural ... - May 21
... ● Predicted the claim severity to understand future loss and ranked importance of features ● Used Python3.X, Python 2.X to implement different machine learning algorithms including Generalized Linear Model, SVM, Random Forest, Boosting and Neural ... - May 21
Java Developer Team Leader
Stamford, CT
... Claims pro is rules-driven workflow and automated claim assignment, driving straight-through processing and providing supervisory insights and control over claims operations Automated workload balancing. Manage Event rules using Drools Engine to ... - May 21
... Claims pro is rules-driven workflow and automated claim assignment, driving straight-through processing and providing supervisory insights and control over claims operations Automated workload balancing. Manage Event rules using Drools Engine to ... - May 21
Public Health Customer Service
Queens, NY
... requests made by physicians and pharmacies for use of prescription drugs that are non-formulary, have prior authorization requirements, have exceeded quantity or cost limits, or require assistance in on-line processing of a prescription claim. ... - May 20
... requests made by physicians and pharmacies for use of prescription drugs that are non-formulary, have prior authorization requirements, have exceeded quantity or cost limits, or require assistance in on-line processing of a prescription claim. ... - May 20
BA
Manhattan, NY, 10022
... loan in Origination process Helped in creating Use cases from an end user perspective by understanding loan processing and claim approval Conducted GAP analysis of different reports being presented to clients to accommodate their requirements for ... - May 20
... loan in Origination process Helped in creating Use cases from an end user perspective by understanding loan processing and claim approval Conducted GAP analysis of different reports being presented to clients to accommodate their requirements for ... - May 20
Oracle Ebs Sr
North Bergen, NJ
... Migrated single instance to multi node RAC from scratch for clustering the database server to support the increased number of daily claim transaction volumes and high availability of the database system by enabling Load balance and Instance failover ... - May 18
... Migrated single instance to multi node RAC from scratch for clustering the database server to support the increased number of daily claim transaction volumes and high availability of the database system by enabling Load balance and Instance failover ... - May 18
Spring Boot Team Member
Manhattan, NY
... • Reduced the cost involved in genera,ng the applica,on’s various reports, invoices, email templates, and CMS 1500-Health insurance claim form by more than 50% by devising an automated system using Spring boot, Thymeleaf, Itext, Jasper Report, and ... - May 16
... • Reduced the cost involved in genera,ng the applica,on’s various reports, invoices, email templates, and CMS 1500-Health insurance claim form by more than 50% by devising an automated system using Spring boot, Thymeleaf, Itext, Jasper Report, and ... - May 16
White Plains Workers' Compensation
White Plains, NY
... • Evaluated claim eligibility, reviewed medical documentation, and determined appropriate compensation based on established guidelines and regulations. • Collaborated with medical professionals, employers, and attorneys to gather necessary ... - May 13
... • Evaluated claim eligibility, reviewed medical documentation, and determined appropriate compensation based on established guidelines and regulations. • Collaborated with medical professionals, employers, and attorneys to gather necessary ... - May 13
Patient Care Medical Assistant
Manhattan, NY, 10019
... & Ethics • Knowledge of Medical Insurance, Claim follow up, Medisoft Patient scheduling, Preauthorization • Experience with Vital Signs, EKG, Stress Testing, Phlebotomy, Patient examination / preparation, echocardiography, and vascular ultrasound. ... - May 13
... & Ethics • Knowledge of Medical Insurance, Claim follow up, Medisoft Patient scheduling, Preauthorization • Experience with Vital Signs, EKG, Stress Testing, Phlebotomy, Patient examination / preparation, echocardiography, and vascular ultrasound. ... - May 13
C# Sql Server
Palisades Park, NJ
... requirements (C#, Web API, ASP.NET MVC and SQL Server) EDI Claim Processing System: Built two-way electronic patient data interchange system from scratch between EDI clearing house and ConnectiveRx system for BMS, Pfizer, Takeda, AstraZeneca etc. ... - May 10
... requirements (C#, Web API, ASP.NET MVC and SQL Server) EDI Claim Processing System: Built two-way electronic patient data interchange system from scratch between EDI clearing house and ConnectiveRx system for BMS, Pfizer, Takeda, AstraZeneca etc. ... - May 10