| Resume alert | Resumes 41 - 50 of 1079 |
Call Center Front Desk
Dallas, TX
... in handling high volume of calls (member and provider calls), processing claims, appeals and data entry Working knowledge on Medicare and Medicaid Excellent communication and customer service skills with strategic planning and leadership. ... - Feb 20
... in handling high volume of calls (member and provider calls), processing claims, appeals and data entry Working knowledge on Medicare and Medicaid Excellent communication and customer service skills with strategic planning and leadership. ... - Feb 20
Business Analyst Software Development
McKinney, TX
... ●Good Knowledge in Medical Management Information Systems (MMIS), Eligibility and Managed Care concepts (Medicaid and Medicare), Procedural and Diagnostic codes and Claims Process, Electronic Medical Records and Electronic Health Records which used ... - Feb 19
... ●Good Knowledge in Medical Management Information Systems (MMIS), Eligibility and Managed Care concepts (Medicaid and Medicare), Procedural and Diagnostic codes and Claims Process, Electronic Medical Records and Electronic Health Records which used ... - Feb 19
Clinical Documentation Risk Adjustment
Rowlett, TX
... Solid platform with HTA & health authorities, Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial and Medicaid plans. Analyze, interpret and abstract data/documentation. Identify HCC improvement opportunities and ... - Feb 19
... Solid platform with HTA & health authorities, Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial and Medicaid plans. Analyze, interpret and abstract data/documentation. Identify HCC improvement opportunities and ... - Feb 19
Life Support Registered Nurse
Dallas, TX
... Utilization Management Nurse: Aetna Insurance - Dallas, TX 11/2010 - 01/2015 ·Utilized MCG along with Medicaid and Medicare managed care guidelines to determine medical necessity. ·Reviewed initial and concurrent requests for inpatient SNFs, IRFs, ... - Feb 18
... Utilization Management Nurse: Aetna Insurance - Dallas, TX 11/2010 - 01/2015 ·Utilized MCG along with Medicaid and Medicare managed care guidelines to determine medical necessity. ·Reviewed initial and concurrent requests for inpatient SNFs, IRFs, ... - Feb 18
Customer Service Medical Office
Dallas, TX
... Willis Towers Watson Pre Enrollment Specialist August 2022 to current -Effective communication and active listening with Medicare customers to achieve enrollment with call escalation as needed -Accurate, detailed database entry -Excellent customer ... - Feb 17
... Willis Towers Watson Pre Enrollment Specialist August 2022 to current -Effective communication and active listening with Medicare customers to achieve enrollment with call escalation as needed -Accurate, detailed database entry -Excellent customer ... - Feb 17
Web Applications Asp.Net
Frisco, TX
... Translate user needs and business requirements into the needed screen/interface designs and workflow Implementing and designing various modules of Medicare Gateway using ASP.NET and C#.NET in .NET Framework 4.0. Extensively worked on Azure Service ... - Feb 14
... Translate user needs and business requirements into the needed screen/interface designs and workflow Implementing and designing various modules of Medicare Gateway using ASP.NET and C#.NET in .NET Framework 4.0. Extensively worked on Azure Service ... - Feb 14
Data Entry Clerk
Dallas, TX
**/**** - **/**** ******** Specialist, Eligibility Interviewers, Government Programs Mckesson Corp, Irving, TX TAKING INCOMING CALLS FROM PATIENTS AND PHARMACIES ENROLLING PATIENTS INTO A DISCOUNTED PROGRAM IF THEY QUALIFY OR HAVE COMMERCIAL OR... - Feb 11
**/**** - **/**** ******** Specialist, Eligibility Interviewers, Government Programs Mckesson Corp, Irving, TX TAKING INCOMING CALLS FROM PATIENTS AND PHARMACIES ENROLLING PATIENTS INTO A DISCOUNTED PROGRAM IF THEY QUALIFY OR HAVE COMMERCIAL OR... - Feb 11
Quality Assurance Control
Irving, TX
... Created and executed various end to end Test scenarios of healthcare products and services, variations of health insurance products, state of the art health plans associated with Medicare, Medicaid & Commercial LOB as used in the United States ... - Feb 08
... Created and executed various end to end Test scenarios of healthcare products and services, variations of health insurance products, state of the art health plans associated with Medicare, Medicaid & Commercial LOB as used in the United States ... - Feb 08
Customer Service Entry Level
Dallas, TX
... Skilled Medicare Field Agent excited to work in the field, meet customers and promote company for Medicare Sales Services . First-rate negotiator and problem-solver with a self-motivated and hardworking mentality. Proven expertise in insurance ... - Feb 07
... Skilled Medicare Field Agent excited to work in the field, meet customers and promote company for Medicare Sales Services . First-rate negotiator and problem-solver with a self-motivated and hardworking mentality. Proven expertise in insurance ... - Feb 07
Medical Assistant Health Care
Dallas, TX, 75261
... processed amendments on Commercial, Medicare, and Medicaid contracts. •Experience with submitting claims online to each individual insurance company, carrier, or clearinghouse. - Feb 07
... processed amendments on Commercial, Medicare, and Medicaid contracts. •Experience with submitting claims online to each individual insurance company, carrier, or clearinghouse. - Feb 07