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Resumes 1 - 10 of 582 |
Brandon, FL
... open my Work Queue Split the list with my partner Work monthly projects Work Coplan reports Call Bcbs to get the status of a claim Get claims information from Availity Call Patients to make sure their coordination of Benefits are up to date Dispute ...
- May 08
Tampa, FL
... Oversee quality claim audits to ensure guideline enforced including documentation. Develop and maintain all policies and procedures for new processes. Create various reports using EDW and/or IT reporting for monthly distribution to executives and ...
- May 07
Tampa, FL
... Claims Processor Wipro - Tampa, FL October 2020 to June 2022 ● Followed up with customers on unresolved claim issues. ● Proposed settlements for uncomplicated issues to resolve claims. ● Evaluated accuracy and quality of data entered into agency ...
- May 07
Tampa, FL
... THIRD PARTY ADMINISTRATOR• AMERIBEN• JANUARY 2022 – OCTOBER 2022 Provide claims support with billing, eligibility, benefit questions, health plan ID cards, reprocess claim denials, advise of plan changes, and benefit updates with selected policy/ or ...
- May 07
St. Petersburg, FL, 33702
... and complaints to maximize satisfaction Establish, develop and maintain positive business and customer relationships Insurance Representative • Clearwater Solutions • 2022-2023 Distribute policy proceeds after a claim is submitted and approved. ...
- May 03
Wesley Chapel, FL
... of members and/or providers questions using computer based resources to find answers ● Guide member and providers with their healthcare needs ● Explain benefits, solve claim concerns, help find a doctor via phone calls, online chats or emails. ...
- May 03
Brandon, FL
... exceptional customer service to insured, claimant, witness and attorney to obtain necessary information to move the claim forward Investigated loss detailed and determine liability Investigated fraudulent claims and authorized surveillance on ...
- May 01
St. Petersburg, FL
... CCS Medical 08/2008 – 08/2009 Customer Service Representative ● Provided support with processing prescription claim adjudications to the health plan for member patients. ● Reviews internal databases to complete accurate and timely follow-ups on ...
- Apr 24
Tampa, FL
... Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments. Expertise in Medicare billing procedures and regulations Proficiency in medical coding (ICD-10, CPT, HCPCS) Experience with billing software ...
- Apr 18
Tampa, FL
... the business partners • Coach, train and mentoring claim analyst on PI’s Preferred Materials – Accounting Clerk 2014- 2018 Tampa, FL • Process and maintain Accounts Payable records and resolve queries within an automated, high volume environment. ...
- Apr 17