| Resume alert | Resumes 11 - 20 of 461 |
Grievance and Appeals
Columbus, OH
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
... Resource expert on dual Medicare program. Successfully exceeded a goal for authorization load error report of 5% in 2016 Evaluated and monitored inpatient census and screened member’s eligibility as well as benefits Surpassed a monthly goal for ... - Mar 18
Prior Authorization Services Representative
Columbus, OH
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
... • Data collection • Medical terminology • Medical records • Office experience • Computer skills • Communication skills • Medicare • Windows • Microsoft Office • Medical scheduling • Typing • Medical office experience • English • Anatomy knowledge • ... - Mar 15
Sql Server Software Development
Dublin, OH
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
... MarketProminence’s automated solution for Medicare programs allows payor to track and manage all data related to a m ember through their lifecycle from initial contact through enrollment, membership and retention. Environment: PowerBuilder v12.5, ... - Mar 15
Victim Advocate, Microsoft office, attention to detail
Columbus, OH
... 2012 Assisted individuals in locating resources Determined eligibility for services including food and cash assistance and Medicaid Victim Assistance Coordinator – Ashland County Prosecutor’s Office, Ashland, Ohio January 2005 to July 2011 Helped ... - Mar 07
... 2012 Assisted individuals in locating resources Determined eligibility for services including food and cash assistance and Medicaid Victim Assistance Coordinator – Ashland County Prosecutor’s Office, Ashland, Ohio January 2005 to July 2011 Helped ... - Mar 07
Financial Management Service Delivery
Columbus, OH
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
... • Skilled in Medicare Set Asides, Medicare reporting, lump sum settlements and structured settlements for claim resolutions. • Effective collaborator with employers, injured workers, legal counsel, medical providers and regulatory bodies to resolve ... - Mar 04
Information Systems Patient Care
Columbus, OH
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
... This initiative helped to ensure reimbursement to care partners and resulted in buy-in from Medicaid and Medicare for compliance variance and unhindered reimbursement. Implemented training standards complaint with the Center for Medicaid and ... - Feb 29
High Level Team Members
Blacklick, OH
... April 1999 to March 2013 Managed 6 Group Homes for adults with special needs • Responsible for managing social security and Medicaid benefits for up to 60 resident adults with disabilities • Reconciled Room and Board • Managed funds of the adults in ... - Feb 27
... April 1999 to March 2013 Managed 6 Group Homes for adults with special needs • Responsible for managing social security and Medicaid benefits for up to 60 resident adults with disabilities • Reconciled Room and Board • Managed funds of the adults in ... - Feb 27
Data Entry Customer Service
Columbus, OH
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
... Palmetto GBA Columbus, OH Oct 2008 - Oct 2010 Appeals Specialist Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements. Research Medicare ... - Feb 27
Prior Authorization Specialist
Columbus, OH
... •Assisted uninsured qualified patients in obtaining Medi-Cal(California Medicaid). Accounts Receivable Supervisor Engage Healthcare Business Services Columbus, OH April, 2006- June 2010 •Responsible for overseeing billing and collections for ... - Feb 13
... •Assisted uninsured qualified patients in obtaining Medi-Cal(California Medicaid). Accounts Receivable Supervisor Engage Healthcare Business Services Columbus, OH April, 2006- June 2010 •Responsible for overseeing billing and collections for ... - Feb 13
Forklift Operator Pick Up
Columbus, OH
... and others equipment to move and collect items Education Associate's degree in culinary arts ICPR Junior College - Arecibo, PR Skills • Clamp Operator (5 years) • Sit Down Forklift (5 years) • Stand up Forklift (5 years) • Electric Pallet Jack (5 ... - Feb 13
... and others equipment to move and collect items Education Associate's degree in culinary arts ICPR Junior College - Arecibo, PR Skills • Clamp Operator (5 years) • Sit Down Forklift (5 years) • Stand up Forklift (5 years) • Electric Pallet Jack (5 ... - Feb 13