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Vice President & Chief Compliance Officer

Los Angeles, CA
... establish processes and train staff to perform Quality audits at least bi-annually in accordance with Medicare and payer guidelines; and investigate and resolve Compliance issues timely. • Provide leadership and management over Compliance, HIPAA, ... - Dec 15

Certified Paralegal

Tarzana, CA
... Ss & SSi and Medical/Medicare. Kforce/Bank of America Simi Valley, CA Foreclosure Specialist – Contractor 09/2011 - 05/2012 Monitored foreclosure loans and ensured that foreclosure actions on individual accounts completed in a timely manner, ... - Dec 14

Customer Service Medical

Glen Allen, VA
... Triaged Patient Complaints Task Force Committee Leader Float/travel 1/2006 to 2/2008 Billing/Patient Representative Concerta Medical Center - Adjusted/completed Medicare/Medicaid/Urgent Care Insurance Claims Completed Referrals New Account Set-Up ... - Dec 14

Security Analyst

Kailua, HI
... Some of these include: Senior Security Analyst, US Centers for Medicare and Medicaid Baltimore, MD •Conducted network hunting activities to detect malicious traffic and properly respond. •Generated a “Playbook” for the usage of all tools in the CMS ... - Dec 14

3rd Officer

Patna, Bihar, India
... 2014 SEACOM Proficiency in Survival Craft / Rescue Boat / PST SMC/PST/8224 16/04/2014 SEACOM Elementary / Medical First Aid /Medicare SMC/EFA/7925 30/04/2014 SEACOM Personal Survival & Social Responsibility (PSSR) SMC/PSSR/9134 26/04/2014 UNLIMITED ... - Dec 13

Data Project

Osprey, FL
... medical record, patient demographic, visit and encounter information, ICD diagnostic information, account billing and insurance information payer information(Medicare, Medicaid, Tricare, Commercial, ETC.), basic clinical visit information. ... - Dec 13

Customer Service Sales Representative

Peachtree Corners, GA
... managed Medicaid and Medicare claims • Entered claim data into database and updated Claimant of claim status via phone or email Caliper Staffing Various positions/Commercial and Consumer Collections (11/2012 – 03/2014) • Managed large portfolios and ... - Dec 12

Administrative Assistant Manager

Port St. Lucie, FL
... Lucie, FL Revenue Cycle AR/AP Specialist Worked with Medicare, Medicaid, Commercial insurances and Cash Payers Uploaded electronic files, prepared reports, reviewed EOBs, posted payments and processed denials, verified insurances, and submitted ... - Dec 12

Medical Manager

Oxford, MS
... Obtained insurance information and liaised with companies including Medicare and Medicaid using ICD9 coding, composing medical appeal letters and entering EOBs. Managed billing and reconciliation for over 1000 accounts. Corresponded with patients ... - Dec 12

Sales Manager

Woodstock, GA
... for more than 11 Health Insurance Carriers- overseeing more than 850 agents over 5 seasons in both Medicare and ACA Carriers Developed and Implemented Strategic Sales Platform and process resulting in 7 point conversion increase in enrollments. ... - Dec 12
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