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Insurance Manager

Springfield, MA
... Baystate Medical Center, Springfield, MA 01/2010-09/2013 Claim Representative 1 Hospital Medicaid insurance claim billing. Arrange for debt repayment or establish repayment schedules, based on patient financial situations. Contact the proper ... - Nov 21

Manager Customer Service

Altamonte Springs, FL
... Objectively manage claim activity through verification of coverage, investigations, claim analysis, settlement negotiations, claim payments, denials, and fraud investigation. Xerox, Raleigh, NC Dec 2013 – May 2014 Customer Care Representative ... - Nov 20

Project Engineer

Hyderabad, Telangana, India
... Variation claim in case of any changes in tender drawing. Proper and written instruction to sub-contractor and sub ordinates. Maintaining commissioning checklist for each and every equipment. Submission of As-built Drawing. Submission of Operation ... - Nov 20

Sales Representative

Quezon City, NCR, Philippines
... Coordinates with the health care insurance companies & healthcare providers to get a claim processed and paid. Reviewing and appealing unpaid and denied claims. Verifying patients’ insurance coverage. Answering patients’ billing questions. Handling ... - Nov 20

Mission-focused, Hands-on, Strategic Leader with 20+ yrs of experience

Mount Airy, MD, 21771
... Policy has been called into action at conferences up to 1,150 attendees and due to education and awareness of 0% tolerance, in two years, reached a 0% claim status. Successful onboarding of new medical society resulting in an 11% increase in annual ... - Nov 20

Software Engineer

Plano, TX
... Whenever the insured customer claims for the insured amount the agencies are asked to investigate for the validity of the claim. Application has some user groups. Depending on the roles, user can have different rights to access the data. ... - Nov 20

SDET/QA Automation Engineer

Princeton, NJ
... • Good Knowledge in ICD-9/ICD-10, HIPAA 4010 /5010, Claim Processing, Management Information Software and Finance Accounting Software. • Very good team player in working with others on critical assignments. • Knowledge on using python, C# ... - Nov 20

Test Cases Quality Assurance

Bradenton, FL
... Processed members through the calculation process through Check Write using Claim Processing Workstation (CPW) and UNET Testing Revitalization (UTR), HP Quality Center, HP Quick Test Pro, COBOL, JCL, DB2, Tivoli Output Manager, SharePoint, ENDEVOR, ... - Nov 20

Project Manager Software Developer

Bronx County, NY
... Configuration: DB/2 SQL, COBOL COBOL II, TSO, SPF, VSAM, CICS, OS-JCL SPF, M Q SERIES IMS DB 1/93 - 2/94 MEDCO -CONTAINMENT (Pharmacy Claim Processing) Worked on front end. Edited data used to create flat files for new pharmacy. Flat files where ... - Nov 20

Power Plant Project

Mecca, Makkah Province, Saudi Arabia
... I regulated the development of Construction Claim for “Extension to the Subcontractor’s Time for Completion and reimbursement of Loss and Expense” for PP12 Combined Cycle Power Plant Project against “JV BEMCO-GS” worth SAR 142 Million. Earlier with ... - Nov 20
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