Medicare Resumes

Douglasville, GA
... Knowledge and understanding of the different types of major payers including private/commercial and government (Medicare, Medicaid, VA, DOD). Maintains records in accordance with applicable standards and regulations to the programs/promotions. ... - Mar 01

Phoenix, AZ
... Ordering-restocking office for each Atena, United Healthcare and Medicare, Medicaid health plans. Banner Health-Mesa Corporate (January 2017-March 2022) Position Title: Credentialing Specialist-Provider Enrollment Specialist Relevant Skills: ... - Mar 01

Baton Rouge, LA
... Advice (ERA) Processing • EHR/Billing Systems (Epic, Athenahealth, Excel & Data Entry Accuracy Advanced MD) • Medicaid & Medicare Billing Guidelines EDUCATION Cecilia Senior High School – High School – Cecilia, La- Graduated 1999 Cosmetology ... - Mar 01

Jeffersontown, KY, 40299
... Industry Expertise: Commercial lending & credit operations • Financial services modernization • Healthcare operations • Medicare member engagement • Claims optimization • Regulatory alignment Leadership, Communication & Change Management: ... - Mar 01

South Plainfield, NJ
PROFESSIONAL SUMMARY Accomplished healthcare and customer service professional with 15+ years of expertise in commercial health insurance, prior authorizations, Medicare appeals, and care coordination. Demonstrated ability to streamline processes, ... - Mar 01

Cleveland, OH
... • Applies company policies and procedures to resolve a variety of issues Member Service Representative at Home United Health Care - North Tonawanda, NY January 2012 to August 2020 *Provided excellent customer service for Medicare recipients. ... - Feb 28

Baltimore, MD
... Senior Resource Telemarketer/appointment setter June 2018-November2019 Linthicum, Maryland ● Made over 150 outbound calls to Medicare beneficiaries setting appointments for them to talk to a specialist who helps with out-of-pocket medical expenses. ... - Feb 28

Phoenix, AZ
... Pacific Pulmonary Services - Billing/A R Rep/ February 2016 to July 2016 I bill Medicare claims, and I also do the appeals, aging, and denials. I also run the same and similar for Medicare. I am skilled in the dashboard, brightree, zirmed, and ... - Feb 28

Dallas, TX
... 12/2013 - 03/2016 Patient Account Representative Medicaid, Medicare, Social Security, Irving, TX Conduct personal interviews with uninsured and under-insured hospital patients to obtain and verify financial, demographic, and medical information to ... - Feb 28

Tampa, FL
... Proven ability to oversee billing workflows, manage accounts receivable, resolve denials, support credentialing, and train staff while maintaining compliance across Medicaid, Medicare, vision plans, and commercial insurance. Trusted escalation point ... - Feb 28