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Albuquerque, NM
... Databases Microsoft Office - MS Word, MS PowerPoint, MS Excel, MS Windows Professional Experience: Centene (Medicaid/Medicare Remote) Project Coordinator/Care Management June 2024- Oct 2024 Responsible for understanding and applying clinical ...
- Sep 19
Albuquerque, NM
... Center for Medicaid and Medicare Services (CMS), SC DHEC and SC State Fire Marshal office polices and regulations at: hospitals, long term care facilities, intermediate care facilities for mentally retarded ambulatory surgical centers and hospices. ...
- Sep 19
Rio Rancho, NM, 87124
... • CUSTOMER SERVICE REPRESENTATIVE 10/2021 to 02/2022 Elixir/Rite Aid Assist members with issues regarding Medicare Part D prescription drug coverage • Deescalate and resolve pharmaceutical issues between carriers, members, and pharmacy • • Document ...
- Sep 18
Albuquerque, NM
... December 2021 to June 2022 Remote - Work From Home: Medicare line of business for NM. Always protecting PHI & HIPAA information. Took calls to quote benefits, for INN & OON; check on health and dental premiums and pharmacy. Quoted Copays and ...
- Aug 09
Albuquerque, NM
... (Whole Life, Term), Final Expense, Retirement Protection, Future College Plans, Grow up Plans, Long-term Care, Recovery care, Home Health care, MASA-Medical Air & Ground Transportation, cancer Heart & Stroke Ins., Medicare Supplemental Ins. ...
- Jun 27
Albuquerque, NM
... Medical Billing and Coding, Medicare Audits, Budgeting, and reconciliation Accurate charting and documentation, Implemented and trained staff on the use of EHR systems, organized and meticulously tracked the uploading of all charts to new technology ...
- May 07
Albuquerque, NM
... NM March 2013 to October 2015 Responds to questions or issues from PHP members and providers about insurance benefits, coverage, or premiums (Centennial Care, Commercial, IBAC, Medicare) with regard to: eligibility and demographic changes; ...
- Apr 07
Rio Rancho, NM
... customers on choosing an Electric Supplier Educated ways to save or reduce electrical consumption Remote Inbound Calls for Medicare Optum United Healthcare Contract with Insight Global Axion September 2023 to December 2023 Inbound calls for Medicare ...
- Mar 09
Rio Rancho, NM
... I also have exceptional Medicaid and Medicare background knowing policies information for members, and Providers assisted in billing claims, fixing technical issues with Doctors services locating members and running Authenticator services to check ...
- 2024 Dec 03
Albuquerque, NM
... I am currently fully certified in receiving and assisting with Spanish callers, I am fully trained in customer service for medicaid, commercial, medicare members and Provider Care Unit for all lines of business. • I assist daily with DME Companies ...
- 2024 Nov 25