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Malvern, PA
... Anthem business will be transition Individual (does not include Medicare Supplementary) and small Group Off-exchange membership on 2017 ACA Plans to Off-exchange 2018 ACA compliant plans. This project is for Individual membership and billing data ...
- 2020 Oct 11
Wilmington, DE
... companies Optum RX, AETNA, Express Scripts, Blue Cross Blue Shield, CVS Caremark, Delaware Highmark, Delaware Medicaid and Medicare Faxing doctors to initiate a prior authorization on denied claims Simple compounding such as compounding Magic Mouth ...
- 2020 Jun 11
West Chester, PA
... 2004 Instant Recognition for adapting SYNVISC® pricing to the rapidly-evolving Medicare reimbursement environment; 2005 Instant Recognition for quality and leadership in developing pricing presentations for Board of Directors Volunteer Profile While ...
- 2020 Apr 22
Hockessin, DE
... oManaged project using Agile Methodology and JIRA PSCI, for State of Delaware, Wilmington, DE Feb 2011 – Dec 2013 Project Director (Contract) Managed program to implement a web based background check system as part of the Centers for Medicare & ...
- 2020 Feb 02
Honey Brook, PA, 19344
... Use Agile methods to meet Centers for Medicare and Medicaid Services aggressive deadline to support ICD-10 medical codes. Reduce project implementation time by streamlining processes related to program modification, documentation and implementation. ...
- 2019 Nov 11
New Castle, DE
... 2010 Entered condition codes, occurrence codes, ICD-10, CPT4 and HCPC codes on Hospital and Physician claims Billed Medicare, Medicaid and Tricare and other commercial carries electronically Maintained accounts receivables within the daily goal ...
- 2019 Jul 09
West Chester, PA
... Charge Master Committee Organizational Development Revenue Cycle Management Contract Negotiation Leadership Development Medicare/Medicaid Settlement Negotiation Insurance Negotiation Accounting Interface (GL) System Upgrades Team Mentoring, ...
- 2019 Apr 26
Ridley Park, PA
... Knowledgeable of medical coding and billing requirements, Medicare regulations, anatomy, and medical terminology. Self-starter capable of working independently as well as an integral part of a team. Technical skills include: Proficient with Navinet, ...
- 2019 Mar 29
Elkton, MD
... More than 6 years in Government (State Medicaid/Medicare and Federal) settings, as well as Drug Safety Associate. Clinical Review Pharmacist at Supply Chain management Services DHHS. EXPERIENCE Clinical Review Pharmacist PRN January 2019- present ...
- 2019 Mar 07
Nottingham, PA, 19362
... Provide expert, timely and quality customer technical support and service for a variety of Medicare contracts. Technical support is provided externally and internally and encompasses set up of electronic transactions, support of all communications, ...
- 2019 Feb 15