Charlotte, NC
... Core Skills & Qualifications • New Referral Processing & Tracking • Insurance Benefit Verification (Medical & Pharmacy) • Medicare, Medicaid & Managed Care Reimbursement • Prior Authorization & Medical Review Support • Patient Financial ...
- Jan 03
New Boston, MI
... Recognized for driving Value-based care models and Medicare Shared Savings Program incentives. Ready to leverage comprehensive skills and a commitment to excellence to enhance operational effectiveness in a challenging new role. Work Experience ...
- Jan 03
Loomis, CA
... • Draft clear, professional Medicare denial letters to members and providers regarding services rendered. • Track data in excel spreadsheets and databases. • Request medical records from providers. Caregiver In-Home Supportive Services May 2016 – ...
- Jan 03
Fitzgerald, GA
... Laws & Ethics ●CMS 1500 Claim Form ●Claims Appeal Process ●Billing Cycle ●Medical Billing Knowledge ●Third Party Billing ●Medicare Medicaid ●HMO PPO ●Basic Coding Skills for ICD-10 & CPT Insurance Verification ●Anatomy & Physiology EDUCATION AND ...
- Jan 03
Jacksonville, FL
... Billing and Enrollment Specialist Humana-Louisville, KY May 2004 to January 2006 Enrolled medicare eligible customers into a healthcare plan suited just for them, maintained current members and answered questions about products and programs. Sales ...
- Jan 02
Alpine, UT
... Benefit Advisor Go Health – September 2020 to January 2021 Take inbound calls from Medicare eligible participants to review health care needs and insurance coverage. Run a needs analysis to identify eligibility for certain benefits that coincide ...
- Jan 02
Aubrey, TX
... KNOWLEDGE ICD-9 and CPT-4 Codes, HCFA 1500, UB92, DRG, Per Diem, Case and Flat rates, Stop Loss, Behavioral Health, Medicare, Medicaid, HMO, Managed Care, PPO, POS, Self-Funded, Indemnity, Dental, Group and Individual Plans. Billing and Collection ...
- Jan 02
Austin, TX
... 06/2023 – 12/2023 Advisory Board, Lifetime Care Services Austin, TX, United States Served as a startup advisor for an innovative company delivering chronic care management to FQHC Medicare patients. Aligned healthcare industry leaders with Lifetime ...
- Jan 02
Florissant, MO
... Worked one week of AEP Insurance Advisor- August, 2022 to Present AIMS- Montgomery, Al Non-captive Insurance Advisor- July, 2021 to August, 2022 Healthcare.com- Miami, FL I worked remotely selling Medicare Advantage Plans nationwide Insurance ...
- Jan 02
Hendersonville, TN
... Possess talented drive and knowledge of Medicaid and Medicare insurance claims, proven sales ability and consistently establish excellent award- winning customer relations. Seeking opportunity focusing on health insurance customer care. Proficient ...
- Jan 02