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Resumes 41 - 50 of 193 |
Nashua, NH
... Customer service skills Create census sheets, and invoicing for my sites and prepare to bill Bill claims for Mass Health, Medicare, and other payer's Create new payment batches Verifying batches and remittance advice Manually posting new payments ...
- 2023 Apr 23
East Kingston, NH
... Skills ●Excellent Phone Skills ●Good time management skills and self-directed ●Knowledge of contracting process, Medicare fee schedules ●Ability to analyze information and formulate effective plans for using information ●Established and ...
- 2023 Apr 20
Boston, MA
... Medicare Provider Utilization and Payment Data Analysis. • Analyzed large Medicare Provider Utilization and Payment Data Claims PUF using R and MS SQL. Conducted exploratory and descriptive analysis to uncover disparities among physicians and ...
- 2023 Mar 05
Nashua, NH
... Provided guidance to clients looking to change or increase their Medicare product related benefits and coverages and sold products to match their needs. Built client relationships and helped families utilize plan services that provided needed ...
- 2023 Mar 03
Peabody, MA
... the employee Personnel Files Experience with the survey process of a health care services operation including JCAHO, CARF, Medicare, and/or state licensing survey process Investigates a variety of employee related issues (EEOC claims, harassment, ...
- 2023 Feb 27
Boston, MA
... Skills include: Prescription Processing, Pharmaceutical Calculations, Medical & Pharmaceutical Terminology, Drug Classifications & Safety, Medication Inventory Management, FDA Compliance, Medicare, Medicaid & Insurance Claims Processing and Customer ...
- 2023 Feb 19
Boston, MA
... Payer Experience Medicare with Medicaid MCO ( managed care organizations) Extensive experience with: Mass Medicaid : ACO/ MCO/C3 MASS HEALTH WAIVER PROGRAMS/ABI/FRAIL ETC DME Vermont Medicaid Maine Care Network Health Tufts Medicare Preferred and ...
- 2023 Jan 12
Newton Centre, MA
... RECENT WORK EXPERIENCE INDEPENDENT CONSULTANT Aug 2015 – Present Concierge Pharmacist: Providing private medication management services for MTM Medicare-eligible and private-pay patients. HARVARD PILGRIM HEALTHCARE, Quincy, MA Jan 2020– April 2020 ...
- 2022 Dec 12
Boston, MA
... Carried a case load of upwards to 30 patients primary diagnosed with traumatic brain injuries, conducted discharge planning including family meetings, submitting referrals to skilled nursing homes and group homes, familiarity with Medicare/Medicaid ...
- 2022 Oct 19
Billerica, MA
... Commercial, Medicare, Medicaid Insurance and Pharmacy channel Contract, Guidelines & Prior Authorization Expert. Insurance Contract and Guidelines, Appeals, Patient Care, Billing Medical and Pharmacy Claims. Patient Advocate and De-escalation Expert ...
- 2022 Oct 12