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Medicare or Cms or Claim or Oceanside resumes in Columbus, OH, 43215

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Resume alert Resumes 21 - 30 of 562

Customer Service Human Resources

Columbus, OH
... • Maintained accurate and timely updates of claim details, including demographic and injury-related information, adhering to a strict 24-hour update policy. • Managed the administration of all worker's compensation claims in compliance with legal ... - Mar 04

Project Manager Management

Columbus, OH
... Also review contractor compliance with ODOT CMS and process relative documentation to upload to project electronic records system. Perform reviews on project quality checkpoints (QCP) and calculate plan project quantities for material quality ... - Mar 04

Information Systems Patient Care

Columbus, OH
... 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 Medicare (CMS). ... - Feb 29

High Level Team Members

Blacklick, OH
... team members vacation time • Insurance billing- creating claims with appropriate attachments or supporting documentation for the claim and submitting to insurance company • Maintained healthy insurance AR - outreach to insurance companies regarding ... - 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

Certified Paralegal with mortgage experience

Columbus, OH
... deed, note & security instrument of currently held mortgage loans that have been affected by natural causes to ensure that all critical factors are concurrent for decisioning on the loan modification, partial claim and combo loan process. ... - Feb 17

High School Quality Control

Columbus, OH
... ● Prepared insurance claim forms or related documents and reviewed them for completeness. ● Met with insurance adjuster to assess damages and estimate the cost of repairs. SALES CONSULTANT August 2016 - December 2018 BUCKEYE NISSAN Hilliard, Ohio ● ... - Feb 16

Prior Authorization Specialist

Columbus, OH
... for multiple hospital based physician groups •Answering phone calls and questions from staff, management, and insurance companies •Mailed claims to the insurance companies along with any required information to process the claim such as records. ... - Feb 13

Customer Service Account Executive

Columbus, OH
... Met regularly with the client to review reserves and claim status. Managed workers’ compensation claims, making claim determinations, calculating and paying temporary total benefits, and payment of medical bills. Represented clients as a hearing ... - Feb 06

Customer Service Financial Clearance

Columbus, OH
... Analyzed contracts and claim systems to apply appropriate benefit amounts. Coordinated benefits with medical insurance plans and Medicare providers. Conducted and documented comprehensive investigations to negotiate settlements or deny claims. ... - Feb 01
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