| Resume alert | Resumes 1 - 10 of 473 |
Care Coordinator Scheduling
Dallas, TX, 75254
... Develops and maintains a working knowledge of current Medicaid and insurance regulations. Interviews and hires staff as needed and approved by management with emphasis on recruiting the best qualified candidates. Evaluates each employee annually and ... - Apr 29
... Develops and maintains a working knowledge of current Medicaid and insurance regulations. Interviews and hires staff as needed and approved by management with emphasis on recruiting the best qualified candidates. Evaluates each employee annually and ... - Apr 29
Life Insurance Client Relations
Garland, TX
... that required correction based on contract or fee schedule to provide provider with correct payment or EOB • Processed Medicaid, Medicare, and Specialty Program claims and determined possibility of Coordination of Benefits (COB) on each claim • ... - Apr 29
... that required correction based on contract or fee schedule to provide provider with correct payment or EOB • Processed Medicaid, Medicare, and Specialty Program claims and determined possibility of Coordination of Benefits (COB) on each claim • ... - Apr 29
Power Bi Data Quality
Dallas, TX, 75225
... LEAD DATA ANALYST OPTUM CARE JAN 2023 – TILL DATE •Lead analysis of data from a multitude of sources (Medicare data, Medicaid data, PHI, Claims, Provider, Reference, Enrollments data) to generate actionable insights and recommendation and category ... - Apr 27
... LEAD DATA ANALYST OPTUM CARE JAN 2023 – TILL DATE •Lead analysis of data from a multitude of sources (Medicare data, Medicaid data, PHI, Claims, Provider, Reference, Enrollments data) to generate actionable insights and recommendation and category ... - Apr 27
Business Analyst Health Care
Carrollton, TX
... Experience with health care systems: QNXT, Medicare Part A, B, C, D, Medicaid systems etc Excellent Business writing skills in writing Business requirements document, Use Case specifications, Functional Specifications, Business Requirements Document ... - Apr 26
... Experience with health care systems: QNXT, Medicare Part A, B, C, D, Medicaid systems etc Excellent Business writing skills in writing Business requirements document, Use Case specifications, Functional Specifications, Business Requirements Document ... - Apr 26
Life Cycle Qa Engineer
Plano, TX
... Project Lead Project Name: SWAT Transition Fill (TF) updates- Medicaid, Medicare and Commercial This project implemented for modifications to Medicaid Adjudication logic to ensure correct messaging is being returned for Cumulative and Edit Bypass ... - Apr 23
... Project Lead Project Name: SWAT Transition Fill (TF) updates- Medicaid, Medicare and Commercial This project implemented for modifications to Medicaid Adjudication logic to ensure correct messaging is being returned for Cumulative and Edit Bypass ... - Apr 23
Revenue Management Help Desk
Denton, TX
... MANAGER OF MEDICAID BILLING AND COLLECTIONS 2000 - 2002 Alpine Medical, Inc. Manage department team for the collections and billing processes for Medicaid. Successfully cleared aging accounts by collaborating with Medicaid Insurance company. ... - Apr 23
... MANAGER OF MEDICAID BILLING AND COLLECTIONS 2000 - 2002 Alpine Medical, Inc. Manage department team for the collections and billing processes for Medicaid. Successfully cleared aging accounts by collaborating with Medicaid Insurance company. ... - Apr 23
Software Development Engineer
Irving, TX
... Tester Location: Salem, OR ONE Integrated Eligibility: To enable Oregon’s to create a state-based eligibility determination and enrollment system that included functions to process program eligibility and enrollment for MAGI Medicaid applications. ... - Apr 16
... Tester Location: Salem, OR ONE Integrated Eligibility: To enable Oregon’s to create a state-based eligibility determination and enrollment system that included functions to process program eligibility and enrollment for MAGI Medicaid applications. ... - Apr 16
Customer Service Representative
Irving, TX
... Worked with all insurance companies including Medicare and Medicaid. Posting payments Disputing claims; Submit appeals Education Certificate of CPC-A in Medical Coding Midwest Technical Institute - Peoria, IL March 2014 to December 2014 Peoria High ... - Apr 15
... Worked with all insurance companies including Medicare and Medicaid. Posting payments Disputing claims; Submit appeals Education Certificate of CPC-A in Medical Coding Midwest Technical Institute - Peoria, IL March 2014 to December 2014 Peoria High ... - Apr 15
Data Analyst and Report Developer
Prosper, TX
... Molina Healthcare, Trenton, NJ Aug 2010 – Feb 2015 System Analyst Integral part of Medicaid Management Information Systems (MMIS) team to support the administration of State Medicaid and other health care entitlement programs including decision ... - Apr 15
... Molina Healthcare, Trenton, NJ Aug 2010 – Feb 2015 System Analyst Integral part of Medicaid Management Information Systems (MMIS) team to support the administration of State Medicaid and other health care entitlement programs including decision ... - Apr 15
Data Warehouse Warehousing
Plano, TX
... It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term ... - Apr 10
... It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term ... - Apr 10