| Resume alert | Resumes 1 - 10 of 656 |
Case Manager Field
Garland, TX, 75040
... psychotropic meeting, restraint committee, safety committee, dietary meeting, continuous quality improvement (CQI) meeting and Medicare Prospective payment systems meeting • Providing reports/recommendations as needed for the Director of Nursing ... - May 02
... psychotropic meeting, restraint committee, safety committee, dietary meeting, continuous quality improvement (CQI) meeting and Medicare Prospective payment systems meeting • Providing reports/recommendations as needed for the Director of Nursing ... - May 02
Sql Server Software Development
Irving, TX
... Worked on testing different applications websites used by Delaware state government for Cash, Food, Medicare benefits for proper functionality. Managing and reporting testing status to the client in meetings. Professional Experience Project name: ... - May 01
... Worked on testing different applications websites used by Delaware state government for Cash, Food, Medicare benefits for proper functionality. Managing and reporting testing status to the client in meetings. Professional Experience Project name: ... - May 01
Life Insurance Client Relations
Garland, TX
... Management Colorado Technical University Graduated February 2013 EXPERIENCE: Independent Business Owner, Garland, TX 5/2019 – 11/2023 • Contact leads to secure their business for Life insurance, Annuities, IUL’s, Preneed services, and Medicare. ... - Apr 29
... Management Colorado Technical University Graduated February 2013 EXPERIENCE: Independent Business Owner, Garland, TX 5/2019 – 11/2023 • Contact leads to secure their business for Life insurance, Annuities, IUL’s, Preneed services, and Medicare. ... - 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
Customer Service Third Party
McKinney, TX
... Submitting medical claims to various insurance companies and Medicare. Identify potential billing complaints and finding the solutions. Other duties as assigned to me. CUDDLE ME HOME CARE -9/2012-3/2014 Billing Specialist Preparing and submitting ... - Apr 25
... Submitting medical claims to various insurance companies and Medicare. Identify potential billing complaints and finding the solutions. Other duties as assigned to me. CUDDLE ME HOME CARE -9/2012-3/2014 Billing Specialist Preparing and submitting ... - Apr 25
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
Risk Adjustment Audit Team
Frisco, TX
... ●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program. ●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners ... - Apr 23
... ●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program. ●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners ... - Apr 23
Customer Service Representative
Irving, TX
... to August 2020 Aetna Medicare Answer calls from members and providers Explain EOC and claims processing Take premium payments Insurance Follow-up Specialist Randstad - Peoria, IL January 2018 to August 2019 Third Party billing for several offices. ... - Apr 15
... to August 2020 Aetna Medicare Answer calls from members and providers Explain EOC and claims processing Take premium payments Insurance Follow-up Specialist Randstad - Peoria, IL January 2018 to August 2019 Third Party billing for several offices. ... - Apr 15
Data Analyst and Report Developer
Prosper, TX
... Worked on the State pharmacy benefit claims including Medicaid, NJ FamilyCare Free for- Service pharmacy claims, PAAD, ADDP, CF and Medicare population. Responsible for the data collection, statistical analyses and evaluation of the edit codes, ... - Apr 15
... Worked on the State pharmacy benefit claims including Medicaid, NJ FamilyCare Free for- Service pharmacy claims, PAAD, ADDP, CF and Medicare population. Responsible for the data collection, statistical analyses and evaluation of the edit codes, ... - Apr 15