| Distance: | Resume alert | Resumes 1 - 10 of 51344 |
Manager/Administrator
Gore Springs, MS, 38929
... * Ensured strict compliance with federal, state, and organizational regulations through meticulous claim reviews. * Identified discrepancies, potential fraud, waste, and abuse, reporting critical findings to management and stakeholders. * Conducted ... - Dec 28
... * Ensured strict compliance with federal, state, and organizational regulations through meticulous claim reviews. * Identified discrepancies, potential fraud, waste, and abuse, reporting critical findings to management and stakeholders. * Conducted ... - Dec 28
Customer-Focused Administrative Professional with Bilingual Skills
Garland, TX
... fit the criteria for warranty or whether to reject the warrant claim. Collin County Community College Mckinney, Texas Pharmacy Technician in Pharmacy 06/2017 Native, Spanish Fluent, English Summary Skills Experience Education and Training Languages - Dec 28
... fit the criteria for warranty or whether to reject the warrant claim. Collin County Community College Mckinney, Texas Pharmacy Technician in Pharmacy 06/2017 Native, Spanish Fluent, English Summary Skills Experience Education and Training Languages - Dec 28
Financial Counselor and Billing Liaison Expert
Clarksville, TN
... • Maintain confidentiality of client-related information • Collect policy payments • Offer Medicare Advantage Policies • Review claim information with policyholder • Access and review EOB with policyholder to ensure understanding of benefits • Taking ... - Dec 28
... • Maintain confidentiality of client-related information • Collect policy payments • Offer Medicare Advantage Policies • Review claim information with policyholder • Access and review EOB with policyholder to ensure understanding of benefits • Taking ... - Dec 28
Healthcare Accounting & Billing Specialist
Columbus, OH
... Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2023 WORK EXPERIENCE ResultsCX, Columbus, OH 06/2023 – Present Member Advocate - Remote Receive inbound calls from members pertaining to claim and benefit inquiries. ... - Dec 28
... Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2023 WORK EXPERIENCE ResultsCX, Columbus, OH 06/2023 – Present Member Advocate - Remote Receive inbound calls from members pertaining to claim and benefit inquiries. ... - Dec 28
Claims & Operations Leader with 10+ Years Experience
Lakeland, FL
... • Applied coding knowledge (CPT, ICD) to validate claim coverage and resolve discrepancies. • Served as Subject Matter Expert, mentoring peers and providing system navigation support. • Recognized for quality assurance and accuracy in claims ... - Dec 28
... • Applied coding knowledge (CPT, ICD) to validate claim coverage and resolve discrepancies. • Served as Subject Matter Expert, mentoring peers and providing system navigation support. • Recognized for quality assurance and accuracy in claims ... - Dec 28
Seasoned Healthcare Professional with 25+ Years Experience
Myrtle Beach, SC
... benefits and payment of services from legally responsible patients* Work closely and professionally with nursing and ancillary departments in an effort to maintain a teamwork approach* Review daily pre-service log to ensure accounts have been ... - Dec 28
... benefits and payment of services from legally responsible patients* Work closely and professionally with nursing and ancillary departments in an effort to maintain a teamwork approach* Review daily pre-service log to ensure accounts have been ... - Dec 28
Customer Support & Claims Professional
Corona, CA
... UFCW Trust Fund — Cypress, CA Pension Analyst/ Claim Processing Jan 2022 – Jan 2024 Responded to member inquiries; explained plan provisions and next steps. Reviewed, analyzed, and verified pension and claim applications, ensuring compliance with ... - Dec 28
... UFCW Trust Fund — Cypress, CA Pension Analyst/ Claim Processing Jan 2022 – Jan 2024 Responded to member inquiries; explained plan provisions and next steps. Reviewed, analyzed, and verified pension and claim applications, ensuring compliance with ... - Dec 28
Dynamic Customer-Driven Bartender and Ops Specialist
Pittsburgh, PA
... • Contact responsible parties to determine claim status and escalate processing. • Conducted thorough assessments of potential risks associated with various projects or initiatives before implementation began, mitigating negative impacts proactively ... - Dec 28
... • Contact responsible parties to determine claim status and escalate processing. • Conducted thorough assessments of potential risks associated with various projects or initiatives before implementation began, mitigating negative impacts proactively ... - Dec 28
Medical Billing and Coding Specialist (AS) Resume
Columbus, OH
... KEY QUALIFICATIONS Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical ... - Dec 28
... KEY QUALIFICATIONS Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical ... - Dec 28
Remote Customer Service Leader with 15+ Years Experience
Snellville, GA
... Reviewed and corrected all assigned claims for accuracy to ensure verification and paid taxes Manage the application of all claim funds received and provide additional information essential for validation Ensured client verification regarding ... - Dec 28
... Reviewed and corrected all assigned claims for accuracy to ensure verification and paid taxes Manage the application of all claim funds received and provide additional information essential for validation Ensured client verification regarding ... - Dec 28