| Resume alert | Resumes 31 - 40 of 339 |
LVN
San Antonio, TX
... Unit housed in Florida to address any Medicare authorization related issues Responsible for research and resolution of claim issues related to inpatient authorizations as identified in our internal claims system report Implemented a proactive ... - Jan 12
... Unit housed in Florida to address any Medicare authorization related issues Responsible for research and resolution of claim issues related to inpatient authorizations as identified in our internal claims system report Implemented a proactive ... - Jan 12
Customer Service Data Entry
San Antonio, TX
... Knowing CPT and ICD-9 coding to ensure accuracy and timely processing of the member's claim. Assisting with escalated claims to resolve complex issues for team members and internal customers. Supporting implementation of updates to the current ... - Jan 09
... Knowing CPT and ICD-9 coding to ensure accuracy and timely processing of the member's claim. Assisting with escalated claims to resolve complex issues for team members and internal customers. Supporting implementation of updates to the current ... - Jan 09
Administrative Assistant Medical Records
San Antonio, TX
... Dermatology Associates of San Antonio Account receivables 7/2011-4/2017 Daily insurance and patient payment posting, appeals, electronic claim processing, download electronic funds from multiple insurances. Completed monthly reports, statements, ... - Jan 06
... Dermatology Associates of San Antonio Account receivables 7/2011-4/2017 Daily insurance and patient payment posting, appeals, electronic claim processing, download electronic funds from multiple insurances. Completed monthly reports, statements, ... - Jan 06
Information Technology Revenue Cycle
San Antonio, TX
... Decreased claim denials by 25% by implementing standard operating procedures. Developed and implemented scorecards aligned with the senior management team's goals and objectives and served as the Project Manager for Circuit Life’s e-commerce website ... - Jan 03
... Decreased claim denials by 25% by implementing standard operating procedures. Developed and implemented scorecards aligned with the senior management team's goals and objectives and served as the Project Manager for Circuit Life’s e-commerce website ... - Jan 03
Customer Service Health Plan
San Antonio, TX
... ● Determined legal liability and negotiated settlements for resolution of the claim. ● Secured lienholder payoff amounts, title acquisition and rental billing. SWBC, San Antonio, Texas - Commercial Collections July 2018- December 2019 ● Handled ... - Jan 02
... ● Determined legal liability and negotiated settlements for resolution of the claim. ● Secured lienholder payoff amounts, title acquisition and rental billing. SWBC, San Antonio, Texas - Commercial Collections July 2018- December 2019 ● Handled ... - Jan 02
Quality Assurance Project Management
San Antonio, TX
... external contractors and provided training and plans of correction for those contractors out of compliance • Audited program benefit claim denials for insurance compliance requirements • Prepared records for external compliance audits • Lead report ... - 2023 Dec 26
... external contractors and provided training and plans of correction for those contractors out of compliance • Audited program benefit claim denials for insurance compliance requirements • Prepared records for external compliance audits • Lead report ... - 2023 Dec 26
Data Entry Clerk
San Antonio, TX
... I made screen grabs of existing campaigns for co-op claim submission. I collaborated closely with the Customer Sales Representatives to help care for and keep our dealer clients. I used Microsoft Office and Excel. I proved a positive, professional ... - 2023 Dec 17
... I made screen grabs of existing campaigns for co-op claim submission. I collaborated closely with the Customer Sales Representatives to help care for and keep our dealer clients. I used Microsoft Office and Excel. I proved a positive, professional ... - 2023 Dec 17
Quality Assurance Life Insurance
San Antonio, TX
... SSN, Income verification, address proof, date and year for claim filing etc. Verified all income related proof for the past year. Checked out thoroughly all Identification proof. Verified all documents before submitting claims. Submitted claims for ... - 2023 Dec 11
... SSN, Income verification, address proof, date and year for claim filing etc. Verified all income related proof for the past year. Checked out thoroughly all Identification proof. Verified all documents before submitting claims. Submitted claims for ... - 2023 Dec 11
Pharmacy Technician Call Center
San Antonio, TX
... and ensuring the safety of HIPPA.Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding by all callers-assisting with speaking with ... - 2023 Dec 04
... and ensuring the safety of HIPPA.Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding by all callers-assisting with speaking with ... - 2023 Dec 04
Data Entry Case Manager
San Antonio, TX
... United States • Took incoming calls from claimants (patients and vendors) regarding denied or underpaid claims • Investigated claim denial reason with customers on the phone and providing denial reason • Adjudicated claims for payment once denial ... - 2023 Dec 03
... United States • Took incoming calls from claimants (patients and vendors) regarding denied or underpaid claims • Investigated claim denial reason with customers on the phone and providing denial reason • Adjudicated claims for payment once denial ... - 2023 Dec 03