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Columbus, OH
... and a knowledge of medical coding and billing through agencies such as State MCR-Medicare/MCD-Medicaid, MRDD-Mental Retardation and Developmental Disabilities, BWC- Bureau of Worker’s Compensation, VA- Veteran Affairs and Commercial Insurances; ...
- 2023 Nov 30
Columbus, OH
... Infrastructure Projects of Server Builds of Critical Legacy Application remediation, SQL DB tuning & updates, Underwriting Claim Center Upgrade, Claim Financials and different types of infrastructure Transformation Projects such as SFTP, SMTP, SFDC, ...
- 2023 Nov 27
Pickerington, OH
... Experience: SafeAuto Clerical / Warehouse 03-2008 to Present ● Audit claim files ● Pulls computerized claim reports from Word and Excel software(s) ● Creates and maintains Excel spreadsheet regarding claim files ● Responsible for delivering of claim ...
- 2023 Nov 26
Columbus, OH
... Planned and coordinated termination and claim settlements. *Monitored recurring service contract payments. *Resolved contractor complaints. (Customer Care) *Developed Source Selection Plans. *Coordinated Source Selection Evaluation Boards for ...
- 2023 Nov 24
Columbus, OH
... r.postjobfree.com WORK EXPERIENCE Office Manager/Insurance Specialist Cardinal Family Eye Care Worthington, OH Aug 2016 - Present Prepared and submitted insurance claims, reports, and financial statements, including those required by Medicare. ...
- 2023 Nov 22
Groveport, OH, 43125
... ● Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. ● Solicit sales of new or additional services or products. ● Obtain and examine all relevant information to assess validity of ...
- 2023 Nov 22
Hilliard, OH
... Recorded Medicaid, Medicare, Molina, Aetna income and expense journal entries into accounting software’s. As a manager strategically, scheduled audits for over 6 different auditors. Google Data Analytics Certification. Professional Experience Peter ...
- 2023 Nov 22
Columbus, OH
... Medicaid, Medicare, MMP, and Marketplace for multiple states, Checked on claim’s status, assisted with appeals for denied claims, followed the steps on prior authorization for member eligibility and checked the state fee schedules for claim pricing. ...
- 2023 Nov 20
Columbus, OH
... to authorize payments Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation Contact or interview claimants, doctors, medical specialists, or employers to get additional information. ...
- 2023 Nov 17
Columbus, OH
... MOLINA INSURANCE, Columbus, OH 8/2014-4/2021 Member Service Representative 1 •As a customer service representative at Molina, I passed all mandatory training at 100% accuracy to meet state Medicaid/Medicare mandates. •Respond to incoming calls from ...
- 2023 Nov 17