| Resume alert | Resumes 61 - 70 of 377 |
Customer Service Project Manager
Baltimore, MD
... Skills Strong organizational skills Mentoring and Coaching Manage multiple work streams Medicare Parts A/B/D Streamline Work Processes Data Capturing and Analytics Claims Processing /Adjusting Grievances and Appeals 01/2021 to 10/2022 Windsor Mill, ... - 2023 Jul 31
... Skills Strong organizational skills Mentoring and Coaching Manage multiple work streams Medicare Parts A/B/D Streamline Work Processes Data Capturing and Analytics Claims Processing /Adjusting Grievances and Appeals 01/2021 to 10/2022 Windsor Mill, ... - 2023 Jul 31
Customer Relations Supply Chain
Chapel Oaks, MD, 20743
... Louisville, KY, USA Senior Enterprise Transformation Professional May 2019 – Present Fortune 50 Medicare Advantage Organization offering healthcare plans to seniors and general public; Internal consultant in a 20 person process driven team ... - 2023 Jul 24
... Louisville, KY, USA Senior Enterprise Transformation Professional May 2019 – Present Fortune 50 Medicare Advantage Organization offering healthcare plans to seniors and general public; Internal consultant in a 20 person process driven team ... - 2023 Jul 24
Customer Service Representative
Baltimore, MD
... pre-authorizations and referrals, and verified eligibility and benefits • Submitted insurance claims to Medicaid and Medicare and performed follow-ups on unremitted claims within the billing cycle timeframe • Provide health promotion, prevention ... - 2023 Jul 17
... pre-authorizations and referrals, and verified eligibility and benefits • Submitted insurance claims to Medicaid and Medicare and performed follow-ups on unremitted claims within the billing cycle timeframe • Provide health promotion, prevention ... - 2023 Jul 17
Data Entry Customer Service
Baltimore, MD
... Processed Medicare Part D appeals for denied pre-certified claims as well as Insurance Verification, Eligibility Benefits and Adjudication of approved medications for correct co-payment, conducted Inbound and Outbound calls, scheduled appointments ... - 2023 Jul 10
... Processed Medicare Part D appeals for denied pre-certified claims as well as Insurance Verification, Eligibility Benefits and Adjudication of approved medications for correct co-payment, conducted Inbound and Outbound calls, scheduled appointments ... - 2023 Jul 10
Center Representative Data Entry
Elkridge, MD
... Assisted with referral information for PAC and Medicare coverage. Interacted with 95 % Spanish population. AUGUST 2011 – MARCH 2013 CALL CENTER REPRESENTATIVE, PRINCE GEORGE’S COUNTY OFFICE OF COMMUNITY RELATIONS, 311 CALL CENTER, UPPER MARLBORO, MD ... - 2023 Jun 09
... Assisted with referral information for PAC and Medicare coverage. Interacted with 95 % Spanish population. AUGUST 2011 – MARCH 2013 CALL CENTER REPRESENTATIVE, PRINCE GEORGE’S COUNTY OFFICE OF COMMUNITY RELATIONS, 311 CALL CENTER, UPPER MARLBORO, MD ... - 2023 Jun 09
Office Assistant Care Associate
Baltimore, MD
... Review referrals and authorizations • Confirm patient benefits and insurance • Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO policies • Transfer insurance claims and billing data to billing software • Create both ... - 2023 Jun 03
... Review referrals and authorizations • Confirm patient benefits and insurance • Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO policies • Transfer insurance claims and billing data to billing software • Create both ... - 2023 Jun 03
Customer Service Member Team
Chesapeake Beach, MD
... Maintains records to ensure compliance for Meaningful Use as part of Medicare Use and train staff regarding updates in use of Nextgen Electronic Heath Record system. Clinic Manager Righttime Medical Urgent Care Clinic Annapolis, MD March 2011 – June ... - 2023 May 23
... Maintains records to ensure compliance for Meaningful Use as part of Medicare Use and train staff regarding updates in use of Nextgen Electronic Heath Record system. Clinic Manager Righttime Medical Urgent Care Clinic Annapolis, MD March 2011 – June ... - 2023 May 23
Test Engineer Software Engineering
Upper Marlboro, MD
... Graham supported the Pennsylvania Department of Human Services (DHS) Affordable Care Act (ACA) Program by providing IV&V and Attestation Services required to certify Pennsylvania to the US Centers for Medicare and Medicaid Services (CMS) for system ... - 2023 May 20
... Graham supported the Pennsylvania Department of Human Services (DHS) Affordable Care Act (ACA) Program by providing IV&V and Attestation Services required to certify Pennsylvania to the US Centers for Medicare and Medicaid Services (CMS) for system ... - 2023 May 20
Unit Clerk Nursing Assistant
Upper Marlboro, MD
... s medical needs, medication, and securing the level of care (LOC) forms from Qualis to Liberty Health Care • Implements the EPD Waiver forms and assists clients with applying for Medicaid and Medicare, and other forms of managed care insurances. ... - 2023 May 19
... s medical needs, medication, and securing the level of care (LOC) forms from Qualis to Liberty Health Care • Implements the EPD Waiver forms and assists clients with applying for Medicaid and Medicare, and other forms of managed care insurances. ... - 2023 May 19
Medical Receptionist Administrative Assistant
Baltimore, MD
... This includes navigation of health insurances through the Maryland Connection including Medicare, Medicaid, and supplemental insurance. • Coordinate the details of community events and health fairs with various sponsor's to maximize contact and ... - 2023 May 19
... This includes navigation of health insurances through the Maryland Connection including Medicare, Medicaid, and supplemental insurance. • Coordinate the details of community events and health fairs with various sponsor's to maximize contact and ... - 2023 May 19